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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome ... Berlin criteria ... detected on CT or CXR ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
" - Supleural ... the severity Acute ... Respiratory Distress ... #differential #diagnosis ... #signs #Lung #POCUS
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Distress Syndrome ... lobar collapse, lung ... #Respiratory #Distress ... Definition #Criteria #Diagnosis ... #CriticalCare
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... ischemic changes CXR ... respiratory distress ... lung injury (TRALI ... #cardiology
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
- Differential Diagnosis ... • Diffuse Lung ... Disease • Acute ... Respiratory Distress ... #HeartFailure #Cardiology
Upper Lobe Lung Diseases - STAR CHASERS Mnemonic

S - Silicosis
T - Tuberculosis
A - Ankylosing Spondylitis
R -
• ↑ Mechanical stress ... edema in acute ... Increased mechanical stress ... #differential #diagnosis ... #STARCHASERS #radiology
The Berlin Definition of Acute Respiratory Distress Syndrome (ARDS)

Chest imaging - Bilateral opacities—not fully explained by
Distress Syndrome ... effusions, lobar/lung ... >= 5cm H2O #Diagnosis ... #CriticalCare # ... #Distress #Syndrome
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
Criteria: ARDS Berlin ... At least 3 of (Acute ... resp distress, ... fluid balance, and CXR ... with pulmonary
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
American male in mild distress ... This post will focus ... a chest x-ray (CXR ... not seen on a CXR ... #Lung #Pulmonary