12 results
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
diagnostics as clinically ... indicated (e.g. ... echocardiogram, EKG ... iBookCC #COVID19 #algorithm ... #schema #Diagnosis
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... effects: Peripheral ischemia ... is not desired (e.g ... Vasopressors #Inotropes #comparison ... #table #pharmacology
What is the difference between ischemic colitis and mesenteric ischemia?
A common misnomer. Mesenteric ischemia and ischemic
and mesenteric ischemia ... Mesenteric ischemia ... initial treatment algorithms ... mesentericischemia #comparison ... differences #diagnosis #table
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... 0.375-0.75 mcg/kg ... Internet Book of Critical ... Vasopressors #Properties #Table ... Effect #Management #Comparison
Differentiating type-I vs. type-II MI

Sorting this out is difficult, often relying heavily on clinical judgement.

A key
relying heavily on clinical ... of myocardial ischemia ... The table below ... Definition #NSTEMI #Comparison ... #Table
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for ... volumes of ~6 cc/kg ... Internet Book of Critical ... COVID19 #management #schema ... hypoxia #failure #algorithm
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... Change in clinical ... Stable patients
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
just simply a clinical ... range of possible clinical ... ECG is vital while ... #differential #algorithm ... cardiology #treatment #table
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
are typically able ... cannot, coronary ischemia ... #diagnosis #algorithm ... echocardiogram #management #clinical
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
are typically able ... cannot, coronary ischemia ... management #cardiology #clinica ... l#foamed #algorithm