11 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... and/or digoxin level ... (no B-lines on ultrasound ... Revascularization, treatment ... #HeartFailure #Cardiology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver ... • Obstructive: Pulmonary ... Treatment Goals ... #criticalcare #algorithm ... #treatment #management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management checklist ... management - RUQ ultrasound ... as for septic shock ... pain-dose ketamine infusion ... #Pancreatitis #Checklist
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
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
blocking agent • Shock ... Hyperkalemia Pulmonary ... Sotalol • Propofol infusion ... • Yellow fever ... diagnosis #causes #cardiology
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
focus on improving perfusion ... - shock->treatments ... before beginning treatment ... Reduced tissue perfusion ... output - Acute pulmonary
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... with presence of pulmonary ... essentially Cardiogenic Shock ... #differential #algorithm ... #management #cardiology
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
interventional radiology ... hours-to-days post-infusion ... ICANS: altered level ... renal failure, pulmonary ... , SOB, pleural effusions
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
our friends from Cardiology ... heart (Sepsis, Shock ... time for coronary perfusion ... #diagnosis #algorithm ... criticalcare #foamed #treatment
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
- Ferritin, liver ... function tests - Ultrasound ... needed to exclude effusion ... suspected Adiunctive treatments ... lab-confirmed influenza, pulmonary