14 results
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
Kussmaul's Sign ... The Kussmaul sign ... cardiomyopathy, massive pulmonary ... #Kussmauls #Sign ... Video #Clinical #JVP
Kussmaul's sign in a patient with suspected pulmonary embolism

 - Dr. David Juurlink
@DavidJuurlink

Kussmaul sign is a
Kussmaul's sign ... with suspected pulmonary ... DavidJuurlink Kussmaul ... venous pressure (JVP ... #Kussmauls #Signs
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
CO / High SVR, JVP ... CO / High SVR, JVP ... • Pulmonary Embolism ... CO / High SVR, JVP ... Diagnosis #Types #criticalcare
Mechanical Ventilation in High Intracranial Pressure (ICP)
- Maintain PEEP < ICP
- Dealing with ICP
- HOB effect
on ICP - Post-intubation ... Elevated #management #pulmonary ... #criticalcare
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
rate of requiring intubation ... Extubation to HFNC ... lower rates of re-intubation ... Devices #management #pulmonary ... #criticalcare
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
waves caused by pulmonary ... because she also has Kussmaul's ... have elevated JVP ... #Giant #PHTN #JVP
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
CHF, decreases intubation ... COPD, decreases intubation ... exacerbation (cardiogenic pulmonary ... indication for intubation ... #indications #criticalcare
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 • Tracheobronchial:
Primary Vascular: Pulmonary ... Indications for Intubation ... Diagnosis #Management #pulmonary ... #criticalcare
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... , Volume Exam (JVP ... Management #treatment #criticalcare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Tamponade - Pulmonary ... crackles, elevated JVP ... Management #Summary #criticalcare