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diagnosis differential algorithm clinical effusion endocarditis pericardial treatment complex echocardiogram extracorporeal membrane oxygenation pocus risk shock summary tamponade a4c activation
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
lack of acute cardiac ... level <100 pg/ml EKG ... : • Negative for ... size: Normal ECHO ... differential #diagnosis #cardiology
Extracorporeal Membrane Oxygenation (ECMO) - Basics Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
used to treat pulmonary ... flow supports cardiac ... Assess perfusion (eg ... #Basics #management ... #pulmonary #criticalcare
ExtraCorporeal Membrane Oxygenation (ECMO) Fundamentals Definitions: • ExtraCorporeal Membrane Oxygenation (ECMO) provides prolonged pulmonary and/or circulatory support
provides prolonged pulmonary ... series with the native ... cannula • VA: Pulmonary ... Support (VA) - cardiac ... Oxygenation #diagnosis #management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... Fick calculated cardiac ... DCSI #Initiative #Management ... #Cardiology
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
help stratify cardiac ... Comatose #CathLab #NSTEMI ... Stratfication #Management ... #Cardiology #CriticalCare
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
endocarditis w/ septic pulmonary ... Consider repeat echo ... • Aggressive management ... Endocarditis #checklist #criticalcare ... #diagnosis #management
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... arrythmias Diagnostics: EKG ... ($), ECHO ($$), ... Stress #Testing #cardiology ... #management #diagnosis
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Tamponade - Pulmonary ... elevated JVP, echo ... Cardiac surgery? ... #Summary #criticalcare
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework IATROGENIC DISEASE Secondary to invasive cardiac procedures NONIATROGENIC • Malignancy (e.g., metastatic spread:
Secondary to invasive cardiac ... • Malignancy (e.g ... patients with pulmonary ... may have false negative ... Differential #Diagnosis #cardiology
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... consistent with pulmonary ... objective assessment“ (e.g ... . echo cardiogram ... #CriticalCare
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