23 results
RV Strain in Pulmonary Embolism on POCUS Echocardiogram

A patient is brought by EMS intubated and hypotensive.
RV Strain in Pulmonary ... Embolism on POCUS ... your next step in management ... #RVStrain #Pulmonary ... Echocardiogram #clinical #ultrasound
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... Prognostication based on scores ... @nickmmark #Pulmonary ... #Embolism #Risk ... prognostication #diagnosis #management
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hypoxemia - Workup and Management ... Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... Embolism, Pneumothorax ... Therapeutics: Airway
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
Increased Airway ... o Circulatory embolus ... o Aspiration, pulmonary ... Intraoperative #Checklist ... #Diagnosis #Management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... nodes • Roth’s spots ... Injury By: • Early embolic ... • Paradoxical emboli ... Endocarditis #diagnosis #management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... endocarditis w/ septic pulmonary ... with multiple embolic ... • Aggressive management ... #Endocarditis #checklist
Parasternal Short Axis (PSAX) at the level of the Aortic Valve

Phased array transducer; parasternal short axis/indicator
Parasternal Short ... Valve Phased array ... heart strain (pulmonary ... even see a saddle embolism ... #Parasternal #Short
HFNC compared to NIV
HFNC:
- Comfort - Higher comfort  Eating, drinking and speaking less impaired 
-
less impaired - Airway ... application - Pulmonary ... pressure - Extra pulmonary ... Skin breakdown/ sores ... #comparison #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Checklist Evaluation ... (no B-lines on ultrasound ... cardiogenic shock #Checklist ... HeartFailure #Cardiology #Management
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
• Confirm airway ... Anaphylaxis (→ 3-1) Embolism ... CardiacArrest #Checklist ... Intraoperative #Checklist ... #Diagnosis #Management