22 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 ... XRay #Diagnosis #Management ... #Orthopedics #Sports
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration in CHF ... Driving pressure supports ... BiPAP #Titration #CHF ... CongestiveHeartFailure #Management ... #CriticalCare #
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Decompensated CHF ... • Obstructive: Pulmonary ... #Diagnosis #criticalcare ... algorithm #treatment #management
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 • Tracheobronchial:
Massive Hemoptysis - Differential ... over 24 hours Differential ... Primary Vascular: Pulmonary ... Massive #Hemoptysis #Differential ... #pulmonary #criticalcare
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Classification and Differential ... Decompensated CHF ... , CVP > 12 • Pulmonary ... Classification #Differential ... Diagnosis #Types #criticalcare
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... Prognostication based on scores ... @nickmmark #Pulmonary ... prognostication #diagnosis #management ... stratification #criticalcare
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 ... XRay #Diagnosis #Management ... #Orthopedics #Sports
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hypoxemia - Workup and Management ... Differential Diagnosis ... Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... #treatment #criticalcare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In CHF, decreases ... exacerbation (cardiogenic pulmonary ... patients (ie., CHF ... #indications #criticalcare ... #management
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
used to treat pulmonary ... Suppots lungs (pulmonary ... VA-ECMO - flow supports ... #ECMO #Basics #management ... #pulmonary #criticalcare