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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 ... symptoms Imaging • CXR ... numerous B-lines, pleural ... #Coronavirus #CriticalCare
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU ... will also get an EKG ... and CXR ... Pearls #Checklist #diagnosis ... #workup #criticalcare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... algorithm #management #cardiology ... #treatment #table ... heartfailure #chf #criticalcare ... #icu #clinical
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... edema, bilateral pleural ... → no signs of CXR ... angiography if low ... #management #cardiology
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
our friends from Cardiology ... are typically able ... #diagnosis #algorithm ... #management #clinical ... #criticalcare #
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
our friends from Cardiology ... are typically able ... #diagnosis #management ... #cardiology #clinica ... foamed #algorithm #criticalcare
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
And Proteinuria (e.g ... insufficiency (Cr ... liver enzymes, Low ... so have high clinical ... htn #obstetrics #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Clinical • Under-recognized ... during Delivery • Stable ... Avoid ARBs • ICD ... support for patients clinically ... #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Obtain EKG if: ... Change in clinical ... Orthopedic • Low ... one post op Cardiology ... stratification #diagnosis
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
BUN/Cr- 128/9.4. ... along with rt/lt pleural ... Admitted to ICU. ... Echocardiogram #A4C #clinical ... #cardiology