10 results
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID-19 Hypoxia ... Monitor closely short ... #criticalcare # ... hypoxia #failure ... #algorithm #survivingsepsis
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
ECMO center or team ... #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
in the lunate ("tea ... onto outstretched hand ... Wrist #Carpal #Radiology ... #Orthopedics #Sports ... #MSK
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
COVID-19 Intubation ... on exhalation port ... PPE (use ethanol hand ... Checklist #SARSCoV2 #Management ... #CriticalCare #
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Decompensated Heart Failure ... to be in ADHF starts ... #diagnosis #differential ... #algorithm #management ... heartfailure #chf #criticalcare
ECMO Troubleshooting - OnePager Summary
ECMO Emergency Protocol - Team should train/practice & have necessary supplies at
Emergency Protocol - Team ... to OXYGENATOR FAILURE ... • PUMP FAILURE ... problems #diagnosis #differential ... #management #criticalcare
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
New-onset Heart Failure ... nodes • Roth’s spots ... Marantic (NTBE) Differential ... Endocarditis #diagnosis #management ... #cardiology
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
breakdown of glycogen stores ... In both SK and AK ... #diagnosis #differential ... #algorithm #management ... #treatment #criticalcare
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... event, follow ACC algorithm ... echo in the last year ... one post op Cardiology ... surgical management