19 results
Graded Oxygen Administration in COVID-19

#respiratory #support #COVID19 #management #schema #criticalcare #hypoxia #failure #algorithm #coronavirus #sarscov2 #oxygen
Administration in COVID ... -19 #respiratory ... #support #COVID19 ... #management #schema ... criticalcare #hypoxia #failure
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID-19 Hypoxia ... Management Indication ... Guidelines #respiratory ... #management #schema ... criticalcare #hypoxia #failure
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory ... Support Algorithm in COVID19 ... @emupdates #respiratory ... #management #schema ... criticalcare #hypoxia #failure
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for ... respiratory support ... patients with COVID ... #management #schema ... criticalcare #hypoxia #failure
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
multisystem organ failure ... vascular → RV failure ... from massive pulmonary ... types #diagnosis #management ... #criticalcare #differential
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Insufficiency, Liver Failure ... • Obstructive: Pulmonary ... #Differential # ... algorithm #treatment #management
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
Tachypnea - Differential ... • Tachypnea: Respiratory ... • Hyperpnea: Respiratory ... embolism • Cardiac ischemia ... • Hypovolemic shock
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
exacerbation (cardiogenic pulmonary ... failure (ie.. asthma ... failure (ie OHS ... status • Won't Work ... #criticalcare #management
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... Ameliorate increased work ... pressure (PEEP) for pulmonary ... oxygenation; remove work ... #Shock #Management
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Bradycardia - Differential ... Bradycardia • Renal failure ... blocking agent • Shock ... Hyperkalemia Pulmonary ... • Myocardial ischemia