21 results
Six-step approach to ultrasound-guided central venous catheter placement

I. Identify anatomy of insertion site and localization of
Six-step approach to ultrasound-guided ... central venous catheter ... Use compression ultrasound ... #CentralLine #Ultrasound ... #Venous #Management
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
dental abscess, HD catheter ... , endocarditis, ... epidural catheter ... blood cultures (positive ... Abscess #diagnosis #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
substance use • IV catheter ... Blood cultures are positive ... nodes • Roth’s spots ... #diagnosis #management ... #cardiology
How to Float a PA (Swan-Ganz) Catheter
1) Place an introducer catheter, usually 15 to 20cm, into
PA (Swan-Ganz) Catheter ... 2) Flush each port ... of the catheter ... #Float #Pulmonary ... #instructions #cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... w/ septic pulmonary ... Persistent fever, positive ... • Aggressive management ... criticalcare #diagnosis #management
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
substance use • IV catheter ... cases Culture Positive ... Cerebral > Splenic, Pulmonary ... nodes • Roth’s spots ... Differential #Diagnosis #cardiology
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
disorders - Chronic pulmonary ... significantly positive ... • Infective Endocarditis ... Infarction • Pulmonary ... Pathophysiology #causes #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... in cardiogenic pulmonary ... (no B-lines on ultrasound ... #HeartFailure #Cardiology ... #Management
Esophageal Atresia and Tracheoesophageal Fistula- An infant had an apneic episode at birth and received positive-pressure
birth and received positive-pressure ... The Apgar scores ... radiograph showed the catheter ... NEJM #clinical #radiology
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
Ventilation Summary Positive ... breathing by improving pulmonary ... BIPAP - Bilevel positive ... #Ventilation #management ... #pulmonary