31 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
The triquetrum ... fractures • ED Management ... 1 week MH/CCF ... Wrist #Carpal #Radiology ... XRay #Diagnosis #Management
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration in CHF ... pressure supports the work ... BiPAP #Titration #CHF ... CongestiveHeartFailure #Management ... #CriticalCare #Cardiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Sepsis (→ 3-14) e.g ... amphetamines) Toxic: • Radiologic ... Differential #Causes #Anesthesiology ... Checklist #Diagnosis #Management ... #Workup
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
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... consultation with cardiology ... Ischemia #Ischaemia #Anesthesiology ... Checklist #Diagnosis #Management ... #Workup
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 ... XRay #Diagnosis #Management
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... AMS, SOB from CHF ... Chest Pain • ECG ... #differential #management ... #cardiology
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❶ Call for
equipment. ❽ Discuss management ... interventional radiology ... BloodLoss #Hemorrhage #Anesthesiology ... Checklist #Diagnosis #Management ... #Workup
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
optimal airway management ... airway expertise e.g ... Intubation #Difficult #Anesthesiology ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Consider thrombolysis e.g ... mainstay of initial management ... mainstay of initial management ... Embolism #VTE #Anesthesiology ... #Workup