39 results
Extubation Checklist Mnemonic - MASCOTS
M - Mechanism (Underlying mechanism improving)
A - Airway (Patent, difficult intubation)
S -
Oxygenation (O2 stable ... - Tube feeds (Pause ... (Sedation off, passes ... SAT/SBT) - Anand ... Mnemonic #MASCOTS #criticalcare
Supraventricular Tachycardia EKG

Here’s a great ECG case of a 50-year-old lady who presented with palpitations

Her heart
Here’s a great ECG ... case of a 50-year-old ... - Sam Ghali, M.D ... #ECG #Electrocardiogram ... #Clinical
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Resistance, Main Uses ... Dobutamine 2-20 mcg ... Internet Book of Critical ... Vasopressors #Properties #Table
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Vascular → PE, PAH ... findings based on cause ... Differential #Diagnosis #table ... #comparison #criticalcare
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
on scores and clinical ... class (30-day all cause ... Hemodynamics (Stable ... stratification #criticalcare
Clinical diagnosis of Alcoholic Hepatitis (AH)
 • Onset of jaundice within prior 8 weeks
 • Ongoing
Clinical diagnosis ... Alcoholic Hepatitis (AH ... >1.5, and both values ... use assessment (e.g ... Alcoholic #Hepatitis #AH
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... is not desired (e.g ... Bradyarrhythmias, Some cases ... Inotropes #comparison #table ... #pharmacology #criticalcare
Positive Varus Stress Test in LCL Injury

Interesting knee injury in a young basketball player who landed
Positive Varus Stress ... Because we saw him ... injury, we are able ... dr.dold.md #Varus ... Injury #Positive #Clinical
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
• They must be able ... 85% of predicted value ... production to cause ... arrythmias Diagnostics: EKG
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Causes of Secondary ... with previously stable ... values. 3. ... 109 mm Hg) with clinical ... Causes: • Vascular