48 results
Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Hypoxemia and Dyspnea ... Rapid Response Management ... Cardiac, Neuro 4) Diagnose ... the underlying cause ... #Management #criticalcare
Intracranial Hemorrhage (ICH) and Increased Intracranial Pressure (ICP) - Pathophysiology
ICH Management:
1. Manage Blood Pressure
  •
Management: 1. ... lidocaine, +/- pre-treatment ... Physiology: CO2: • Low ... = dilated BV = raises ... #neurosurgery #management
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... Oxygen Therapy: • Low ... #Management #treatment ... #criticalcare
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... over 2 hrs - Low ... - 2% risk of ICH ... #AcutePE #Management ... #CriticalCare
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
class (30-day all cause ... Hemodynamics (Stable ... prognostication #diagnosis ... #management #stratification ... #criticalcare #
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... 1.5 High CO / Low ... • Obstructive: Pulmonary ... #criticalcare # ... #management
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
- Differential Diagnosis ... exacerbation (any cause ... ) - Massive pulmonary ... Classification #Table ... #CriticalCare
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
disturbance/loss, Slow ... guide targeted treatments ... Syndrome #PICS #diagnosis ... #management #criticalcare ... #icu
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
COVID19 in the ICU ... , now reflecting ... illness) • 20-40% dyspnea ... #Management #Summary ... #Coronavirus #CriticalCare
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Salicylate Toxicity - Diagnosis ... no respiratory cause ... , Diaphoresis, Pulmonary ... Potassium, Low ... #management #Treatment