17 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
in CHF - Mean airway ... Driving pressure supports ... CongestiveHeartFailure #Management ... #CriticalCare # ... Cardiology
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
fractures • ED Management ... 1 week MH/CCF ... Wrist #Carpal #Radiology ... XRay #Diagnosis #Management ... #Orthopedics #Sports
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
-Serial evaluation ... patient's diagnosis (e.g ... #Management #CriticalCare ... #BiPAP #BiLevel ... RespiratorySupport #Selection #Algorithm
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... pulmonary disease or CHF ... pulmonary disease or CHF ... Tachycardia #Treatment #management ... #cardiology #algorithm
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... Decompensated HF ... Anticoagulation #Atrial ... #Fibrillation #Cardiology ... #Management #Algorithm
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
development of HF ... inhibitor; AF, atrial ... #CHF #Congestive ... Stages #ACCAHA #Algorithm ... #Management #Cardiology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
trapezium, capitate, triquetrum ... injury • ED Management ... repair MH/CCF ... Wrist #Carpal #Radiology ... #Orthopedics #Sports
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... lungs - Consider BiPAP ... #Checklist #CHF ... #HeartFailure #Cardiology ... #Management
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
placed through an arterial ... • Triggers (EKG ... Pump #diagnosis #management ... #cardiology #criticalcare
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... Obtain femoral arterial ... DCSI #Initiative #Management ... #Cardiology