7960 results
Important Blood Pressure Targets in the ED
Subarachnoid Hemorrhage: 
    SBP < 140 -
raised ICP: MAP ... raised ICP: MAP ... BP (SBP>70-90, MAP ... Neurogenic Shock MAP ... raised ICP: MAP
Mechanical Ventilation in High Intracranial Pressure (ICP)
- Maintain PEEP < ICP
- Dealing with ICP
- HOB effect
Intracranial Pressure (ICP ... Maintain PEEP < ICP ... - Dealing with ICP ... HOB effect on ICP ... Elevated #management #pulmonary
Intracranial Hemorrhage (ICH) and Increased Intracranial Pressure (ICP) - Pathophysiology
ICH Management:
1. Manage Blood Pressure
  •
blood volume and ICP ... if needed ICP ... - ICP. ... Target MAP: 80. ... High ICP: 20.
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Blood Pressure, Pulmonary ... Dobutamine 2-20 mcg ... Isoproterenol 2-10 mcg ... Epinephrine 0-20 mcg ... Internet Book of Critical
Cushing's Reflex - Pathophysiology
HYPERTENSION with a reflex BRADYCARDIA
 → ↑ ICP 
 → ↓ CBF
 →
BRADYCARDIA → ↑ ICP ... Vasomotor tone → ↑ MAP
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Extend finger at MCP ... at PIP 2) Flex MCP ... is limited in MCP ... tight PIPJ in MCP ... #PhysicalExam #clinical
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Pressure like CP ... severe, tearing CP ... Limb ischemia Pulmonary ... onset pleuritic CP ... COPD, asthma, CF, PCP
Rheumatoid Arthritis Summary
MCP and PIP Involvement, Spares DIP, Carpal Tunnel, Sicca Syndrome, Epi/Scleritis, Heart Disease, Rheumatoid
Arthritis Summary MCP ... Rheumatoid Nodules, Pulmonary
Arthritis of the Hand - Arthritis Patterns

Osteoarthritis:
• Osteoarthritis of the hand usually involves the DIP and
metacarpophalangeal (MCP ... • 2nd and 3rd MCP ... Arthropathy: • (MCP ... 1st CMC = OA • MCP ... RA • 2nd & 3rd MCP
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
due to increased MAP ... activation • D1 (1-2 mcg ... mild alpha (5-10 mcg ... CO • a (>10 mcg