37 results
#EKG taken on a patient with an acute pulmonary embolism with right heart strain showing tachycardia,
#EKG taken on a ... with an acute pulmonary ... pulmonaryembolism #AcutePE #criticalcare ... #cardiology #ECG
Severe Asthma Algorithm - Management of Life-Threatening Asthma in the Emergency Department
Step One
1. Nebulized Albuterol
2. Nebulized
Epinephrine 0.5 mg IM ... Fluid bolus 20 cc/kg ... HCG, ECG if concern ... Emergency #Management #CriticalCare
Non-Resolving Pneumonias: Etiologies
Unusual Infections:
 - Immunocompromised patients (e.g.: Mycobacterium, Aspergillosis, Nocardia)
 - Endemic Fungi (e.g.: Histoplasmosis,
Immunocompromised patients (e.g ... Endemic Fungi (e.g ... - Zoonotic (e.g ... Returning travelers (e.g ... BCM IM Residency
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
endocarditis w/ septic pulmonary ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... Endocarditis #checklist #criticalcare
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
Pulmonary Arterial ... Interpretation: -Pulmonary ... cardiogenic shock (eg ... severe underlying pulmonary ... pressure (ie, pulmonary
Overview of approach to brain death

Pursuing a diagnosis of brain death too early may lead to
brain activity on neurologic ... with brain death (e.g ... with brain death (e.g ... #Diagnosis #CriticalCare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... Anaphylactic >> IM ... Management #Summary #criticalcare
Auto-PEEP 
What is Auto-PEEP?
 • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
airway resistance (e.g ... airway resistance (e.g ... acute scenario (e.g ... AutoPEEP #PEEP #pulmonary ... diagnosis #management #criticalcare
Management of Jehovah's Witness patient in ICU 

Clarify which products may be used 
 - Discuss
early & document (e.g ... pts will accept PCC ... Erythropoietin 300 U /kg ... hemostatic agents (e.g ... #patient #ICU #CriticalCare
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
when possible (eg ... dysrhythmias (eg ... pressure (PEEP) for pulmonary ... reverse the insult (eg ... Shock #Management #CriticalCare