42 results
Pivot-Shift Test in ACL-deficient Knee

This patient has pathologic varus alignment across the knee and a chronic
#Pivot #Shift #PivotShift ... #PhysicalExam #Sports ... #Ortho #msk
Normal (Negative) Pivot-Shift Test for ACL Knee Injury

Andrew Dold, MD @dr.dold.md

#Pivot #Shift #PivotShift #test #ACL #Knee
#Pivot #Shift #PivotShift ... #PhysicalExam #Sports ... cruciate #ligament #msk
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Rapid Response Management ... 1) Ask for vitals ... #Hypotension #Management ... #criticalcare #
Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Rapid Response Management ... 1) Ask for vitals ... Hypoxemia #Dyspnea #Management ... #criticalcare #
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
Driving pressure supports ... CongestiveHeartFailure #Management ... #CriticalCare #
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
Mask Oxygen Delivery ... aka Hudson's Mask ... the exhalation ports ... Delivery #Devices #management ... #pulmonary #criticalcare
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Prognostication based on scores ... prognostication #diagnosis #management ... stratification #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 Management ... Monitor closely short ... support #COVID19 #management ... #schema #criticalcare
Rich Levitan teaches the VAPORS pneumonic: a quick run-through of the main issues to sort prior
main issues to sort ... from Scotland #Management ... #CriticalCare #
CPAP Troubleshooting Tips
1. Wrong size/style mask → try a different mask, nasal pillows
2. Trouble getting used
Wrong size/style mask ... try a different mask ... it → wear for short ... irritation, pressure sores ... Troubleshooting #Tips #management