55 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
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
• Hypoxia • Pulmonary ... • Oxygen • Treatment ... Cardiology #Diagnosis #ECG ... #EKG #Management
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
Anaphylaxis: Treatments (Acute)
Additional Info:
 • IV steroids may be considered for prevention of late phase reactions.
Anaphylaxis: Treatments ... antagonist use (e.g ... adjunct therapy) e.g ... ) 1:1000 IM q5-10mins ... adjunct therapy) e.g
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
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... Presyncope PVC ... 300 = NSVT EKG ... A PAC also has a ... more intensive treatment
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
, hemoptysis Treatment ... • Carbapenem (e.g ... Abscess #Diagnosis #Pulmonary
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
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 ... #treatment #workup