10 results
Hemopericardium on POCUS Echocardiogram - Subcostal View

Valentine's day.  Shot through the heart--but not by Cupid.
Diagnosis? ... of pericardial fluid ... Also on eFAST had ... CT Correlate: https ... S4C #clinical #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of congestion ... #algorithm #management ... #cardiology #treatment ... heartfailure #chf #criticalcare ... icu #clinical #pharmacology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
failure with Reduced Ejection ... un lymphatic Diagnostic ... #heartfailure #diagnosis ... #management #cardiology ... #pharmacology #
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
via cold saline injection ... precede other signs ... Tolerance #testing #diagnosis ... #criticalcare # ... comparison #challenges #management
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Bacterial Peritonitis DIAGNOSTICS ... Treat if other signs ... ↓ rebleeding, infections ... Peritonitis #SBP #diagnosis ... #management #prophylaxis
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
Wuhan Virus") • Infection ... opacities • CT ... unilateral* • POCUS ... #Management #Summary ... #Coronavirus #CriticalCare
The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
non-physiologic fluid ... this post will focus ... #foamed #criticalcare ... #management #diagnosis ... #treatment #pharmacology
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
and Management ... fingers Synovial Fluid ... double contour sign ... • Dual-energy CT ... +Radiographic signs
Small Bowel Obstruction
67 y/o M with PMH colon cancer s/p resection and colostomy, multiple SBO managed
POCUS shows fluid-filled ... diagnosis of SBO ... You do not see signs ... extraluminal free fluid ... radiographs, 3.6 for CT
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
effusion - CT ... scan if diagnostic ... bolus 30 cc/kg fluid ... Influenza #Checklist #Management ... #CriticalCare