25 results
McMurray Test 

#Diagnosis #Sports #McMurray #Test #Knee #Exam #PCL #Knee #ALiEM
McMurray Test ... #Diagnosis #Sports ... #McMurray #Test ... Exam #PCL #Knee #ALiEM
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration ... BiPAP titration ... Driving pressure supports ... driving pressure #BiPAP ... CongestiveHeartFailure #Management
Oxygen Delivery Methods
 • Nasal Cannula
 • Nonrebreather Mask
 • Non-Invasive Ventilation (CPAP/BiPAP)
 • Venturi Mask
Ventilation (CPAP/BiPAP ... #respiratory #pulmonary ... #management
HFNC compared to NIV
HFNC:
- Comfort - Higher comfort  Eating, drinking and speaking less impaired 
-
application - Pulmonary ... pressure - Extra pulmonary ... Skin breakdown/ sores ... #NIV #NIPPV #bipap ... #comparison #management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
IPAP can help generate ... and mortality BPAP ... both EPAP and IPAP ... exacerbation (cardiogenic pulmonary ... #criticalcare #management
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
), Cardiogenic pulmonary ... a.k.a BiLevel, BiPAP ... Ventilation #diagnosis #management ... #indications #pulmonary
CPAP Troubleshooting Tips
1. Wrong size/style mask → try a different mask, nasal pillows
2. Trouble getting used
it → wear for short ... feature, or even BiPAP ... irritation, pressure sores ... Troubleshooting #Tips #management ... #problems #pulmonary
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
Prednisone • NIPPV: BiPAP ... #CriticalCare #pulmonary ... ventilation #mechanical #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... lungs - Consider BiPAP ... in cardiogenic pulmonary ... hypoperfusion, no pulmonary ... HeartFailure #Cardiology #Management
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... Prognostication based on scores ... @nickmmark #Pulmonary ... prognostication #diagnosis #management