13 results
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
SyndromeARDS ... Berlin criteria ... edema must be present ... detected on CT or CXR ... #CriticalCare
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... ischemic changes CXR ... syndrome (ARDS) ... Transfusion-related acute lung ... brain injury, cerebral
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Syndrome (ARDS) ... edema must be present ... lobar collapse, lung ... #Syndrome #Berlin ... Criteria #Diagnosis #CriticalCare
Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in
Acute Respiratory Distress ... Syndrome JAMA ... increased 28-day all-cause ... Postoperative #Pulmonary ... #CriticalCare
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... pleura in severe cases ... Edema: - Widespread ... Acute Respiratory Distress ... Syndrome (ARDS)
The Berlin Definition of Acute Respiratory Distress Syndrome (ARDS)

Chest imaging - Bilateral opacities—not fully explained by
The Berlin Definition ... Syndrome (ARDS) ... effusions, lobar/lung ... #Diagnosis #CriticalCare ... #Distress #Syndrome
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
Berlin Criteria ... without other cause ... fluid balance, and CXR ... with pulmonary ... edema) • Fever
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
periphery of the lung ... In this case, pulmonary ... #photo #CXR #EmergencyMedicine ... #CriticalCare # ... Radiology #Cardiology
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... for Three Common Causes ... pressure (PEEP) for pulmonary ... edema ... #CriticalCare
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
organizing pneumonia, ARDS ... acute respiratory distress ... syndrome) is rare ... Exclude other causes ... #diagnosis #management