11 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... edema - Large effusion ... (no B-lines on ultrasound ... Revascularization, treatment ... NSAlDs, ACE-inhibitors
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Consider IL NS/LR infusion ... Setup - Ultrasound ... Tamponade - Pulmonary ... #criticalcare #treatment
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
- shock->treatments ... before beginning treatment ... Reduced tissue perfusion ... output - Acute pulmonary ... lactate and can act
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Glucose/Temp • ACS ... blocking agent • Shock ... Hyperkalemia Pulmonary ... Sotalol • Propofol infusion ... differential #diagnosis #causes
Orthopedic Emergencies
Compartment Syndrome
 • An increase in compartment pressure to the point where tissue perfusion is
point where tissue perfusion ... - Remove all ... Syndrome • Syndrome caused ... including DM • Treatment ... diagnosis #management #treatment
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... with presence of pulmonary ... & Dry) is the treatment ... essentially Cardiogenic Shock ... the determined cause
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Inhibitors of Na+K+2Cl ... Torsemide) • Acute pulmonary ... Kidney stones caused ... • Hypovolemic shock ... Tolvaptan) • Treatment
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... cardiomyopathy • Pulmonary ... Pts: cardiogenic shock ... • Avoid ARB/ACE-I ... management #cardiology #treatment
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
heart (Sepsis, Shock ... treat the primary cause ... time for coronary perfusion ... “one size fits all ... criticalcare #foamed #treatment
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
Treat underlying cause ... : - Seen with AML ... (~20 %) and APL ... renal failure, pulmonary ... , SOB, pleural effusions