15 results
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... - Risk Stratification ... Hemodynamics (Stable ... #Embolism #Risk ... stratification #criticalcare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In CHF, decreases ... Indications: • CHF ... exacerbation (cardiogenic pulmonary ... patients (ie., CHF ... #indications #criticalcare
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Arrhythmias / CHB ... Pericardial tamponade, Pulmonary ... vasoactive drug pharmacology ... Vasoactive #Drugs #pharmacology ... management #comparison #table
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
4 mph walk 3. ... murmur 3/6) - Pulmonary ... disease b) CHF ... Stable patients ... days before Pulmonary
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach ... Hypokalemia Consider risk ... to reduce the risk ... hypokalemia (<2.5 mM), NPO ... Hypokalemia #Management #CriticalCare
Practice Guidelines for Preoperative Fasting

Infographic by Dr. Jesse Burk-Rafel
@jbrafel

> 8 hours - Heavy foods (fried/fatty) and
0-2 hours - NPO ... hunger - LOWER risk ... and the Use Of pharmacologic ... to Reduce the Risk ... Of pulmonary Aspiration
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management checklist ... increase the risk ... limit them as able ... #Pancreatitis #Checklist ... Diagnosis #Management #CriticalCare
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
transfused patientsl • Risk ... transfused patients • Risk ... : Age>60, CKD, CHF ... , and CXR with pulmonary ... diagnosis #comparison #table
Characteristics of Commonly Used Phosphate Binders 
Aluminum 
 - Potent and effective 
 - Useful for
cholesterol - Lower risk ... salts - Lower risk ... evidence of increased risk ... Phosphate #Binders #Table ... #Comparison #Pharmacology
COVID-19 patient Extubation
Objective: Extubation of a suspected COVID-19 patient whilst minimising aersolisation of virus particles. Orly
extubate on theatre table ... (see Location Risk ... COVID19 #Extubation #Checklist ... #Supplies #CriticalCare