74 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
worsen with head position ... findings BPPV • Short-lived ... Positive Hallpike ... Positive head impulse ... Vertigo #Algorithm #differential
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 • Tracheobronchial:
Massive Hemoptysis - Differential ... Framework and Management ... over 24 hours Differential ... Massive #Hemoptysis #Differential ... #pulmonary #criticalcare
Six-step approach to ultrasound-guided central venous catheter placement

I. Identify anatomy of insertion site and localization of
Confirm needle position ... Confirm wire position ... Confirm catheter position ... Catheter #Venous #Management ... #CriticalCare
Warm Antibody Autoimmune Hemolytic Anemia 
1) DIAGNOSE AIHA
 • Anemia: macrocytic > normocytic, ↑ reticulocytes
 •
autoantibodies: positive ... • Blood smear: Differential ... → schizocytes, Positive ... Anemia #diagnosis #management
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
Driving pressure supports ... CongestiveHeartFailure #Management ... #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 #
APRV - Overview 

Airway pressure release ventilation (APRV) uses prolonged periods of high continuous positive airway
high continuous positive ... MDaniyalHashmi1 #APRV #CriticalCare ... #Ventilation #Management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Noninvasive Positive ... & Inspiratory Positive ... BPAP - Bi-Level Positive ... #indications #criticalcare ... #management