62 results
Flail Chest- Check out the paradoxical chest wall movement 
Typical management: opiates for analgesia, intubation due
Flail Chest- Check ... for analgesia, intubation ... X 36 hours, no intubation ... Pattern #Trauma #Video ... #PhysicalExam #Pulmonary
Flail Chest on Physical Exam
Flail chest after 3 or more ribs are broken in 2 areas
Flail Chest on Physical ... Exam Flail chest ... are broken in 2 areas ... respiratory #clinical #video ... #Pulmonary #paradoxical
Mechanical Ventilation in High Intracranial Pressure (ICP)
- Maintain PEEP < ICP
- Dealing with ICP
- HOB effect
on ICP - Post-intubation ... Elevated #management #pulmonary ... #criticalcare
Difficult Airway Algorithm

1. Assess the likelihood and clinical impact of basic management problems: 
 • Difficulty
• Difficult intubation ... choices: • Awake intubation ... vs. intubation ... • Video-assisted ... Anesthesiology #Anesthesia #CriticalCare
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
rate of requiring intubation ... Extubation to HFNC ... lower rates of re-intubation ... Devices #management #pulmonary ... #criticalcare
Paradoxical Breathing in Flail Chest

Video via Dr. Carlos Romero

#Flail #Chest #Paradoxical #Breathing #Pulmonary #Respiratory #clinical #video
Breathing in Flail Chest ... Video via Dr ... Paradoxical #Breathing #Pulmonary ... Respiratory #clinical #video ... #trauma #chest
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
CHF, decreases intubation ... COPD, decreases intubation ... exacerbation (cardiogenic pulmonary ... indication for intubation ... #indications #criticalcare
Esophageal Intubation
 • Capnography Detection - No trace, Wrong place
 • Prevention and Mitigation
Esophageal Intubation ... Mitigation - Video ... #Esophageal #Intubation ... diagnosis #management #criticalcare ... #pulmonary
A serious case of Flail chest. This is a medical emergency!

Medical Talk @TheMedicalTalk

#Flail #Chest #Breathing #Pattern
case of Flail chest ... TheMedicalTalk #Flail #Chest ... Pattern #Trauma #Video ... #PhysicalExam #Pulmonary
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 • Tracheobronchial:
Primary Vascular: Pulmonary ... Indications for Intubation ... Diagnosis #Management #pulmonary ... #criticalcare