21 results
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
telemetry, 12-Lead EKG ... - Distended neck ... Tamponade - Pulmonary ... crackles, elevated JVP ... #criticalcare #treatment
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
3 different P wave ... • Hypoxia • Pulmonary ... hypertension Management ... • Oxygen • Treatment ... #EKG #Management
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
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... - Management Checklist ... Evaluation - EKG ... Revascularization, treatment ... HeartFailure #Cardiology #Management
BRASH Syndrome

B - Bradycardia
R - Renal failure
A - AV nodal blockade
S - Shock
H - Hyperkalemia

Typical ECG
blockade S - Shock ... Hyperkalemia Typical ECG ... hyperkalemia) BRASH Treatment ... • Aggressive treatment ... Syndrome #diagnosis #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
• Obstructive: Pulmonary ... Treatment Goals ... ) UOP > 0.5 cc/kg ... criticalcare #algorithm #treatment ... #management
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
Streptococcal Toxic Shock ... cases; 50% in nec ... necrosis STSS Treatment ... Syndrome #STSS #treatment ... #management #diagnosis
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... Treatment Systemic ... Low dose 0.5 mg/kg ... RA thrombus Nick ... #AcutePE #Management
Massive Hemoptysis - Diagnosis and Management
 • Definitions: 
   - Hemoptysis = bleeding from
Diagnosis and Management ... respiratory tract (e.g ... Argon Plasma by Nick ... #treatment #workup ... #pulmonary #criticalcare
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Diagnosis and Management ... , Diaphoresis, Pulmonary ... edema, Shock Labs ... Salicylate Level: 150mg/kg ... #Treatment