56 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... Evaluation - EKG ... Revascularization, treatment ... Nephrotoxins (e.g ... channel blocker (eg
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
to rnonths • Fever ... , hemoptysis Treatment ... • Carbapenem (e.g ... Abscess #Diagnosis #Pulmonary ... #Clinical #CXR
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... Clinical • ... gallop • Abnormal ECG ... • Cardiogenic shock ... #Cardiology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver ... • Obstructive: Pulmonary ... ) UOP > 0.5 cc/kg ... Differential #Diagnosis #criticalcare ... #management
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... for Three Common Causes ... when possible (eg ... #Shock #Management ... #CriticalCare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... #Summary #criticalcare ... #treatment #workup
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on ECG Mid ... Triage EKG (no prior ... #Embolism #ECG ... #EKG #Electrocardiogram ... #clinical #cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
endocarditis w/ septic pulmonary ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... Endocarditis #checklist #criticalcare
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Syndrome – ARDS: Clinical ... detected on CT or CXR ... objective assessment“ (e.g ... the underlying cause ... #CriticalCare
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
CBC, vitamin D level ... ventilated • CXR ... doppler, CTA • ECG ... of AECOPD: • Clinical ... #pulmonary