36 results
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
- Severe heart failure ... exacerbation (any cause ... Classification #Table ... #CriticalCare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Intra-cardiac pump failure ... • Severe heart failure ... findings based on cause ... Differential #Diagnosis #table ... #comparison #criticalcare
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
Consider HFNC Not ... HFNC or HFNC is not ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm #survivingsepsis
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
SVT - Management Algorithm ... Identify SVT: • HR not ... Monitors, Pads AP Stable ... shock or heart failure ... tachycardia #Management #Algorithm
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... the disease and not ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Differential Diagnosis Algorithm ... Infarction • Stable ... chest pain often not ... Differential #Diagnosis #Algorithm ... #causes
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
pneumonia vs. heart failure ... ), not the ABG values ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
Hyponatremia The next ... time you have a case ... normal volume-based algorithm ... perfusion (Heart failure ... differential #diagnosis #table
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
-> multiorgan failure ... thyroid dz liver failure ... • MI, Heart Failure ... management #Overview #criticalcare ... #differential #causes
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Norepinephrine (NE ... where ↑ HR is not ... Bradyarrhythmias, Some cases ... Inotropes #comparison #table ... #pharmacology #criticalcare