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Focused Lung Assessment: Transducer positions for the 8 lung zones #EM #Radiology #PCC #POCUS #Focused #Lung
Focused Lung Assessment ... positions for the 8 lung ... zones #EM #Radiology ... #PCC #POCUS #Focused ... #Lung #Transducer
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Chest X-ray - Lung ... Nasopharyngeal PCR ... clinically indicated (e.g ... echocardiogram, EKG
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... ., long QT syndrome ... Presyncope PVC ... 300 = NSVT EKG ... A PAC also has a
Horizontal reverberation artifacts - A-lines are visualized as hyperechoic, horizontal artifacts at regular intervals deep to
field #Clinical #EM ... #Radiology #PCC ... #POCUS #Lung #ALines
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... • Necrosis of lung ... Clindamycin in case of PCN ... Cavitation > 6 cm ... • Vasculitis (e.g
Volume Assist/Control Mechanical Ventilation
How does this mode work?
 • Delivers a set volume of air with
for providing Lung ... • TV- Use 8cc ... /kg PBW and adjust ... consider starting at 6cc ... /kg PBW
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Dextrose in water @ 3cc ... /kg/h, loop diuretics ... MH/CCF/CWRU EM
Chest radiography showed perihilar opacities in both lungs with free air in the mediastinum (Panel A,
opacities in both lungs ... opacities in both lungs ... severity in the left lung ... #Clinical #PCC # ... IM #EM #Pneumomediastinum
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC ... indicated • EKG ... Obtain EKG if: ... since elective PCI ... unless prior heart/lung
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
target ~15-18 cm ... volumes of ~6 cc ... /kg ... useful to allow for lung-protective ... use conventional lung-protective