16 results
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
High pCO2 / low pH ... control mode of ventilation ... • Initial ventilator ... #Exacerbation #CriticalCare ... #pulmonary #ventilation
Protected Airway Intubation Pre-Brief Checklist - COVID19

1. ROLE ASSIGNMENT
2. PPE: Extended gloves, BLUE gown, N95, face
Intubation Pre-Brief Checklist ... : Intubate >6L NP ... filter, NO manual ventilations ... Airway #Intubation #Checklist ... #COVID19 #CriticalCare
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... - Risk Stratification ... Hemodynamics (Stable ... #Embolism #Risk ... stratification #criticalcare
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
used to treat pulmonary ... failure • Adjust ventilator ... Suppots lungs (pulmonary ... ANTICOAGULATION • To reduce risk ... #criticalcare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... exacerbation (cardiogenic pulmonary ... facial hair) • Risk ... PositivePressure #Ventilation ... #indications #criticalcare
Volume Assist/Control Mechanical Ventilation
How does this mode work?
 • Delivers a set volume of air with
Control Mechanical Ventilation ... Lung Protective Ventilation ... ARDS (or at high risk ... #AC #criticalcare ... #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
Airway Intubation Checklist
GATHER/TEST EQUIPMENT: NC, BVM + PEEP Valve, Free flowing IV, EKG, SpO2 monitor, ETT
Airway Intubation Checklist ... Video scope, LMA, Ventilator ... o Anticipate risks ... #intubation #checklist ... #criticalcare #
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
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
metabolic equivalent able ... 4 mph walk 3. ... murmur 3/6) - Pulmonary ... Stable patients ... days before Pulmonary