15 results
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver Failure ... • Obstructive: Pulmonary ... Treatment Goals ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... (PE, PHTN), LV ... Cardiac Tamponade, Pulmonary ... Obstruction (HOCM, critical ... guyton #curves #criticalcare
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID-19 Hypoxia ... Society of Critical ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm #survivingsepsis
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... on scores and clinical ... score (30-day PE-related ... Transient Hypotension, Shock ... stratification #criticalcare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Tamponade - Pulmonary ... >> Acute PE, Tension ... Management #Summary #criticalcare ... #treatment #workup
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
-> multiorgan failure ... death Common Clinical ... • MI, Heart Failure ... O2 delivery • PE ... management #Overview #criticalcare
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
-> multiorgan failure ... death Common Clinical ... • MI, Heart Failure ... O2 delivery • PE ... management #Overview #criticalcare
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
patients with COVID ... Internet Book of Critical ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
Household exposure - Pet ... Jaundice + renal failure ... • Severe pulmonary ... Epidemiologic exposure + clinical ... microbiology #diagnosis #treatment
Pulmonary Embolism in COVID-19- Clot in Transit

57 year old COVID PUI  with massive RA thrombus
Pulmonary Embolism ... burden, DVT, and PE ... complicated by RV failure ... DrAmirKaki #Pulmonary ... Echocardiogram #A4C #Clinical