11 results
Postoperative Hemorrhagic Pericardial effusion with Left Ventricular Compression and Tamponade

- Reza Karimianpour, D.O. https://twitter.com/officialdrk12

#Postoperative #Pericardial #Effusion
Postoperative Hemorrhagic ... Pericardial effusion ... #Pericardial #Effusion ... #PLAX #POCUS #Ultrasound ... #Echocardiogram
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Causes of Shock HEMORRHAGIC ... immediate control of hemorrhage ... uncontrollable hemorrhage ... , begin packed red ... Shock #Management #CriticalCare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Consider IL NS/LR infusion ... Setup - Ultrasound ... Pulmonary >> Acute PE ... >7 - Non-hemorrhagic ... Management #Summary #criticalcare
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Pneumothorax, Alveolar Hemorrhage ... CXR, CTA Chest, Echocardiogram ... stacked nebs • PE ... Management #treatment #criticalcare
PEA Arrest on POCUS with Hemorrhagic Pericardial Effusion

Older patient found-aphasia, left sided weakness. Last known well
with Hemorrhagic ... Pericardial Effusion ... Arrest #POCUS #Echocardiogram ... #Hemorrhagic #Pericardial ... #Effusion #S4C
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Intravascular volume): • Hemorrhage ... tamponade, Vascular → PE ... release syndrome, infusion ... table #comparison #criticalcare
Hemopericardium on POCUS after Stab Wound

Stab wound to chest:
Blood clot ==> echos. 
Hemopericardium ==> Easily Missed
Missed Echogenic Effusion ... - VCU Ultrasound ... Hemopericardium #POCUS #echocardiogram ... stab #clinical #hemorrhagic ... #effusion #pericardial
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... JVD, Orthopnea/PND ... importantly, bedside ultrasound ... Adequate perfusion ... heartfailure #chf #criticalcare
There is a large pericardial effusion, which is located posteriorly to the left ventricle (blue arrow).
The
large pericardial effusion ... is compressed (red ... explains why the ultrasound ... #PostSurgical #Hemorrhagic ... #Pericardial #Effusion
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
function tests - Ultrasound ... needed to exclude effusion ... uncertainty (e.g. vs PE ... Checklist #Management #CriticalCare