11 results
Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before
Lancisi's Sign ( ... obscenely huge waves ... nice to have ur finger ... #Fibrillation #Neck ... #JVP #Clinical
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... • Consider K+ binder ... potassium and ECG ... high #diagnosis #management ... #algorithm #treatment
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
telemetry, 12-Lead EKG ... - Distended neck ... crackles, elevated JVP ... #Summary #criticalcare ... #treatment #workup
Massive Hemoptysis - Diagnosis and Management
 • Definitions: 
   - Hemoptysis = bleeding from
Diagnosis and Management ... respiratory tract (e.g ... Argon Plasma by Nick ... #treatment #workup ... #pulmonary #criticalcare
Navigating a Rapid Response Team (RRT)

Assert Leadership:
 • Stand at foot of bed
 • Introduce yourself
EKG. ... • Concise one-liner ... Orders placed, treatments ... Response #Team #RRT #Management ... #treatment #criticalcare
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
Hood to cover neck ... dose paralytic (e.g ... at least 1.2 mg/kg ... Checklist #SARSCoV2 #Management ... #CriticalCare #
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism Treatment ... Low dose 0.5 mg/kg ... RA thrombus Nick ... #AcutePE #Management ... #CriticalCare
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Neck: “dropping ... Serologic and EMG ... stimulation - Single fiber ... - Symptomatic Treatment ... Gravis #diagnosis #management
Approach to Tracheostomy Emergencies - OnePager Summary
COMPONENTS OF A TRACHEOSTOMY TUBE:
 • Obturator - inserted into
tube against the neck ... Call for help (e.g ... Surgical management ... #differential #management ... #pulmonary #criticalcare
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Diagnosis and Management ... heparinized tube) • ECG ... bradycardia → sine wave ... Terbutaline 7 µg/kg ... hypertonic Amp IVP