22 results
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Prognostication based on scores ... class (30-day all ... Transient Hypotension, Shock ... prognostication #diagnosis #management ... stratification #criticalcare
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... Adrenalin - "Epi" - ACLS ... in refractory shock ... Vasopressors #Inotropes #management ... #criticalcare #
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Setup - Ultrasound ... #Diagnosis #Management ... #Summary #criticalcare
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC SHOCK ... visualization with use of ultrasound ... TIMI III flow in all ... DCSI #Initiative #Management ... #Cardiology
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
Driving pressure supports ... CongestiveHeartFailure #Management ... #CriticalCare # ... Cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... (no B-lines on ultrasound ... NSAlDs, ACE-inhibitors ... #HeartFailure #Cardiology ... #Management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... guide etiology & management ... - RUQ ultrasound ... as for septic shock ... #CriticalCare
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
spacing between all ... dislocation • ED Management ... Scaphoid #Carpal #Radiology ... XRay #Diagnosis #Management ... #Orthopedics #Sports
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
HF, Cardiogenic shock ... agent, steroids, AC ... Myocarditis #diagnosis #management ... #cardiology #summary
Six-step approach to ultrasound-guided central venous catheter placement

I. Identify anatomy of insertion site and localization of
Six-step approach to ultrasound-guided ... Use compression ultrasound ... #CentralLine #Ultrasound ... Catheter #Venous #Management ... #CriticalCare