16 results
ST segment elevation in acute myocardial ischemia

ST segment elevations with straight (horizontal, upsloping or downsloping) or
less likely to be caused ... by ischemia (Figure ... ST segment does not ... the underlying cause ... STElevation #Ischemic #Patterns
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 ... COVID19 #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm #survivingsepsis
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
the disease and not ... COVID19 #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm
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
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for ... • Typically set ... #criticalcare # ... hypoxia #failure ... #algorithm
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... perfusion (Heart failure ... differential #diagnosis #table ... #sodium #nephrology
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
mm is needed to cause ... - Myocardial ischemia ... chronic renal failure ... Emergency #Diagnosis #Algorithm ... #CriticalCare #
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
Algorithm - Approach ... sediment may or may not ... Nephrocalcinosis causes ... #Algorithm #differential ... nephrotic #syndrome #nephrology
Lazarus Reflex on Physical Exam

The Lazarus sign is a reflex movement observed in brain-dead or brainstem
brain-dead or brainstem failure ... reported in some cases ... Recovery is not ... clinical #video #neurology ... #criticalcare #
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
- Renal Failure ... only if no clear cause ... Elimination (see Table ... Definitive in ESRD or failure ... Treatment #potassium #nephrology