10 results
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 Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... Blood cultures are positive ... Cerebral > Splenic, pulmonary ... nodes • Roth’s spots ... #diagnosis #management
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 ... Use compression ultrasound ... Confirm wire position ... #CentralLine #Ultrasound ... Catheter #Venous #Management
Invasive Aspergillus (IA) - Diagnosis and Management
Aspergillus is ubiquitous in nature. Most invasive infections are caused
Diagnosis and Management ... presentations: • Pulmonary ... Endophthalmitis, Endocarditis ... AspGM can be also positive ... #treatment #fungal
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
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Endocarditis - Overview ... Blood cultures are positive ... cases Culture Positive ... Cerebral > Splenic, Pulmonary ... nodes • Roth’s spots
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
to be in ADHF starts ... importantly, bedside ultrasound ... with presence of pulmonary ... differential #algorithm #management
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
Diagnosis: • Direct fungal ... Inhalation of spores ... arthritis, and endocarditis ... infection have positive ... #Diagnosis #Management
Coccidioidomycosis (Coccidioides): Valley Fever - Summary Sheet
 • Morphology
 • Geography, Reservoir and Mode of Transmission
periods after rain/storms ... When symptomatic→ pulmonary ... Diagnosis • Management ... - Mild pulmonary ... #summary #fungal
Percutaneous Dilational Tracheostomy - Procedure Instructions Checklist
Tracheostomy is to establish a definitive surgical opening into the
Position: neck extension ... Bronchoscopic ± ultrasound ... tracheostomy tube position ... #criticalcare #pulmonary ... #checklist #management