7636 results
Chronic SVC Stenosis with Caudal Blood Flow of Dilated Abdominal Veins

60 y/o hx of seizures &
Chronic SVC Stenosis ... collaterals - SVC ... cephalad (towards SVC ... ) - SVC obstruction ... abdominal #veins #Clinical
EMCrit Remix of the STC Failed Airway Algorithm #Management #CriticalCare #STC #FailedAirway #Algorithm #Emcrit
EMCrit Remix of the STC ... Algorithm #Management #CriticalCare ... #STC #FailedAirway
Central Venous Catheter site selection - Clinical Decision Aid
IJ vs Subclavian vs Supraclavicular vs Femoral by
site selection - Clinical ... #Management #CriticalCare ... Venous #Catheters #CVC
Pressors and Inotropes

Norepinephrine
 • alpha1 > beta 1
 • Increase SVR > Inotropy
Vasopressin
 • V1
 •
1 • Increase SVR ... V1 • Increase SVR ... 1 • Increase SVR ... Inotropy, Decrease SVR ... Pressors #Inotropes #criticalcare
Superior Vena Cava Syndrome on Physical Exam

Prominent dilated collateral veins are seen bypassing the SVC obstruction

#SVC
bypassing the SVC ... obstruction #SVC ... #PhysicalExam #clinical
Simplified Vasopressors and Inotropes Comparison Chart
MAP = CO x SVR
Dobutamine - Norepinephrine - Epinephrine - Phenylephrine
Chart MAP = CO x SVR ... comparison #table #criticalcare
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
High CO / Low SVR ... Low CO / High SVR ... Low CO / High SVR ... Low CO / High SVR ... Diagnosis #Types #criticalcare
Vasopressors and Inotropes - Comparison Table
Activity: Alpha-1, Beta-1, Dopamine, SVR, HR, CO, BP
Phenylephrine
Vasopressin
Norepinephrine
Epinephrine
Dopamine
Dobutamine
Isoproterenol
Milrinone

- Dr. Eric Strong
Beta-1, Dopamine, SVR ... #pharmacology #criticalcare
Confirmation that central line is placed on the venous side by visualizing echogenic air bubbles in
Echocardiogram #POCUS #Clinical ... #criticalcare # ... S4C
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Framework MAP = CO x SVR ... arrhythmia • ↓ CO, ↑ SVR ... PAH • ↓ CO, ↑ SVR ... toxins • ↑ CO, ↓ SVR ... table #comparison #criticalcare