15 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 ... Management Indication ... #management #schema ... #criticalcare # ... hypoxia #failure
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Support Algorithm in COVID19 ... us believe that intubation ... #management #schema ... #criticalcare # ... hypoxia #failure
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
MI, Acute Heart Failure ... vasoactive drug pharmacology ... Vasoactive #Drugs #pharmacology ... #inopressors #diagnosis ... #management #comparison
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Insufficiency, Liver Failure ... #Differential #Diagnosis ... #criticalcare # ... algorithm #treatment #management
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 ... Classification #types #diagnosis ... #management #criticalcare
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
-> multiorgan failure ... • 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 ... • MI, Heart Failure ... Classification #diagnosis ... #management #Overview ... #criticalcare #
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
worldwide numbers) • Incubation ... emergency 2020-3-12 Diagnosis ... #Cheatsheet #Diagnosis ... #Management #Summary ... #Coronavirus #CriticalCare
Capnocytophaga
Pathogen: Capnocytophaga
 • 9 species, C. canimorsus responsible for the majority of infections
 • Gram-negative rod,
malaise • Septic shock ... • Multiorgan failure ... : CID, Renal failure ... Cholecystitis Diagnosis ... #management #treatment
Gamma hydroxybutyrate (GHB) - Toxicology

Clinical presentation
 - Symptoms of GHB toxicity include: short term anterograde amnesia,
- Respiratory failure ... at the time of intubation ... Toxicology #Toxicity #Diagnosis ... #Management #Pharmacology