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Proned Patient - Critical Care Northampton Proning Checklist in ARDS

Dr. Jonny Wilkinson
@Wilkinsonjonny 

#Proned #Proning #Checklist #ARDS
Proned Patient - Critical ... Northampton Proning Checklist ... Proned #Proning #Checklist ... #ARDS #Management ... #CriticalCare
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... - Management Checklist ... function tests if shock ... #Checklist #CHF ... HeartFailure #Cardiology #Management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Insufficiency, Liver Failure ... Dehydration Shock ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
-> multiorgan failure ... death Common Clinical ... • MI, Heart Failure ... Classification #diagnosis #management ... #Overview #criticalcare
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
-> multiorgan failure ... death Common Clinical ... • MI, Heart Failure ... Classification #diagnosis #management ... #Overview #criticalcare
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
multisystem organ failure ... decompensated heart failure ... vascular → RV failure ... types #diagnosis #management ... #criticalcare #
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
bradycardia, VF etc), RV Failure ... (PE, PHTN), LV Failure ... Obstruction (HOCM, critical ... anesthesia), Liver Failure ... guyton #curves #criticalcare
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Cardiovascular MRI Clinical ... block • Heart failure ... • Cardiogenic shock ... cardiac death Management
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
incongruous with clinical ... - Severe renal failure ... NPO, or profound shock ... #Hypokalemia #Management ... #CriticalCare
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
(ACLF) Clinical ... Lung Failure ... Hepatitis Procedures Management ... Cirrhosis #Hepatology #gastroenterology ... #management #diagnosis