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Serratus Anterior Plane (SAP) Nerve Block for Ribs on POCUS

62M with severe chest wall abrasions,

Anterior Plane (SAP ... Serratus #Anterior #SAP

$Serratus Anterior Plane (SAP) Nerve Block for Ribs on POCUS Ribs 2-10 fractured -> POCUS guided$

Anterior Plane (SAP ... Serratus #Anterior #SAP

CAP, HCAP, HAP and VAP - Diagnosis and Treatment

HCAP & CAP – those presenting to the

CAP, HCAP, HAP and ... VAP - Diagnosis ... with pneumonia HAP ... & VAP – those that ... #HCAP #HAP #VAP

Pneumonia - Causative Organisms
• CAP - Typical, Atypical, Endemic
• Aspiration
• Decreased Immunity
•

Organisms • CAP ... • Hospital - HAP ... , VAP - CMC IM

Antibiotic Stewardship: Shorter is Better
CAP
HAP
VAP
Intra-abd
Gram Neg Bacteremia
AECB
Cellulitis
Osteo
Septic

Shorter is Better CAP ... HAP VAP Intra-abd

Important Blood Pressure Targets in the ED
Subarachnoid Hemorrhage:
SBP < 140 -

Hemorrhage: SBP ... raised ICP: MAP ... raised ICP: MAP ... Before TPA: SBP ... raised ICP: MAP

What's in a Tap: CSF Analysis

Normal vs Bacterial vs Viral vs SAH
- Opening Pressure
-

What's in a Tap: ... Bacterial vs Viral vs SAH

Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
•

• PH (mean PAP ... - dPAP) / RAP ... RAP/PCWP RATIO ... RESISTANCE = [(MAP ... - RAP) / CO] x

Shock - Differential Diagnosis Framework
- MAP <65. SBP <90, drop in SBP > 40
-

Framework - MAP ... SBP <90, drop in ... SBP > 40 - End-organ ... Treatment Goals: 1) MAP

Mean Arterial Pressure (MAP)

Average arterial pressure throughout one cardiac cycle, systole, and diastole.
Surrogate indicator of

Arterial Pressure (MAP ... Pressure (CVP) MAP ... simplified to: MAP ... – DBP) or MAP ... = SBP + 2 (DBP)

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