21 results
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Failure, Toxins/Medications ... Decompensated CHF ... , CVP > 12 • Pulmonary ... Embolism, Tension ... Diagnosis #Types #criticalcare
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Differential Diagnosis by Classification ... flow) - Massive pulmonary ... embolism - Pericardial ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... Hemodynamics (Stable ... @nickmmark #Pulmonary ... #Embolism #Risk ... stratification #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Failure, Toxins/Medications ... Decompensated CHF ... • Obstructive: Pulmonary ... Embolism, Tension ... Differential #Diagnosis #criticalcare
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Artery Disease • Stable ... • Neoplasm Pulmonary ... Interstitium • ILD • CHF ... Vessels • Pulmonary ... Embolism* • Pulmonary
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... - Indications ... @nickmmark #Pulmonary ... #Embolism #Treatment ... AcutePE #Management #CriticalCare
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 • Tracheobronchial:
Primary Vascular: Pulmonary ... Embolism, Vasculitis ... Management: 1) Indications ... Diagnosis #Management #pulmonary ... #criticalcare
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
- Achieving a Negative ... Advantages Of A Negative ... CONCENTRATION MEDICATIONS ... aldosterone states (CHF ... Balance #management #criticalcare
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Arrhythmias / CHB ... Pericardial tamponade, Pulmonary ... embolism 2) Understand ... management #comparison #table
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In CHF, decreases ... : • CHF exacerbation ... (cardiogenic pulmonary ... patients (ie., CHF ... #criticalcare #