17 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration ... pressure supports the work ... driving pressure #BiPAP ... CongestiveHeartFailure #Management ... #CriticalCare #
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hyperacute Hypoxemia - Workup ... and Management ... Bronchospasm, Pulmonary Embolism ... #diagnosis #Management ... #treatment #criticalcare
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup ... History and Exam Acute ... life-threatening causes: • Acute ... • Pulmonary embolism ... , LET, lipase, PT
RV Strain in Pulmonary Embolism on POCUS Echocardiogram

A patient is brought by EMS intubated and hypotensive.
Strain in Pulmonary Embolism ... your next step in management ... strain from massive embolus ... RVStrain #Pulmonary #Embolism ... ultrasound #DSign #AcutePE
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
COPD) • Other acute ... neuromuscular dz) • Pt ... status • Won't Work ... #indications #criticalcare ... #management
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... -The choice of BiPAP ... -BiPAP should never ... #Management #CriticalCare ... #BiPAP #BiLevel
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... bleeding with tPA ... #Pulmonary #Embolism ... #Treatment #AcutePE ... #Management #CriticalCare
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 • Tracheobronchial:
Framework and Management ... • Parenchymal: PNA ... Vascular: Pulmonary Embolism ... Coagulopathy Initial Management ... #pulmonary #criticalcare
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
↓SpO2 • High work ... with increased work ... Prednisone • NIPPV: BiPAP ... #Exacerbation #CriticalCare ... ventilation #mechanical #management
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
to know if the pt ... failure, esp in work-up ... /management of shock ... something has acutely ... #criticalcare