10 results
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC SHOCK ... INITIATIVE ALGORITHM ... ACTIVATE CATH LAB ... #Algorithm #DCSI ... #Initiative #Management
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Differential Diagnosis Algorithm ... Hepatic artery: Shock ... VZV • Trauma: Shock ... Infiltrative Labs ... - If both are normal
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
and Management ... breath sounds • Rales ... CXR upright or lat ... Management: • ... - Switch to oral
SEPSIS AND SEPTIC SHOCK

DEFINITION AND PATHOPHYSIOLOGY
 • Sepsis: Life-threatening organ dysfunction due to a dysregulated host
Labs: increased ... INITIAL MANAGEMENT ... Lactated Ringers > Normal ... ADVANCED MANAGEMENT ... source (e.g., abscess
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Skin Disease Classification ... Noninfectious hepatitis ... Cytopenias • Cardiac valve ... , Serositis Labs ... flares • CRP normal
Alcoholic Hepatitis - Management Algorithm
Assess Eligibility for Treatment:
 - Maddrey Discriminant Function ≥ (or possibly MELD
Alcoholic Hepatitis ... - Management Algorithm ... Multiorgan failure or shock ... #Alcoholic #Hepatitis ... #Management #Algorithm
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
include Crackles/Rales ... is vital while lab ... essentially Cardiogenic Shock ... #differential #algorithm ... #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Assess functional ... neuroexam - Oral ... event, follow ACC algorithm ... Determine if any labs ... medical and surgical management
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
Diagnosis: • Labs ... and Ohio River valleys ... level • A low or normal ... Sinusitis • Brain abscess ... fever • Septic shock
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
Mg, P04, LFTs, alb ... 34ºC) • Infuse Normal ... CPR • Max 3 shocks ... Hypothermia #Protocol #management ... #treatment #algorithm