9 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... Troponin, Lactate, Liver ... and/or digoxin level ... (no B-lines on ultrasound ... HeartFailure #Cardiology #Management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver ... High SVR: • Cardiogenic ... • Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Setup - Ultrasound ... Tamponade - Pulmonary ... resuscitation • Cardiogenic ... #Summary #criticalcare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
mortality BPAP - Bi-Level ... exacerbation (cardiogenic ... pulmonary edema ... #indications #criticalcare ... #management
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... CARDIOGENIC SHOCK ... pressure (PEEP) for pulmonary ... for hemoglobin level ... #CriticalCare
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Diagnosis and Management ... forefoot, ankles, knees ... Uncertain diagnosis or arthrocentesis ... not possible • Ultrasound ... Dual-energy CT → MSU
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... with presence of pulmonary ... is essentially Cardiogenic ... differential #algorithm #management ... heartfailure #chf #criticalcare
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
- Ferritin, liver ... function tests - Ultrasound ... lab-confirmed influenza, pulmonary ... Influenza #Checklist #Management ... #CriticalCare
Percutaneous Dilational Tracheostomy - Procedure Instructions Checklist
Tracheostomy is to establish a definitive surgical opening into the
Bronchoscopic ± ultrasound ... Withdraw ETT above level ... #Tracheostomy #criticalcare ... #pulmonary #checklist ... #management #procedure