29 results
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hyperacute Hypoxemia - Workup ... and Management ... Bronchospasm, Pulmonary ... High Flow • NIPPV ... #treatment #criticalcare
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... Hemodynamics (Stable ... Transient Hypotension, Shock ... prognostication #diagnosis #management ... stratification #criticalcare
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... monitoring ABG values ... ), not the ABG values ... #Management #CriticalCare ... HFNC #HighFlow #NIPPV
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... and Survey 4) Workup ... Tamponade - Pulmonary ... #Summary #criticalcare ... #treatment #workup
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... flow) - Massive pulmonary ... Classification #Table ... #CriticalCare
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Rapid Response Management ... Diagnosis and Workup ... #Hypotension #Management ... #criticalcare # ... Shock
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Pressure Ventilation (NIPPV ... exacerbation (cardiogenic pulmonary ... status • Won't Work ... #indications #criticalcare ... #management
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
↓SpO2 • High work ... Prednisone • NIPPV ... #Exacerbation #CriticalCare ... #pulmonary #ventilation ... #mechanical #management
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... in refractory shock ... Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison #table
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management ... #comparison #table