12 results
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
CARDIOGENIC 16% • MI, CHF ... • Cold and Wet ... #differential #criticalcare
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration in CHF ... pressure supports the work ... BiPAP #Titration #CHF ... CongestiveHeartFailure #Management #CriticalCare
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Diagnosis and Workup ... HYPERVOLEMIC • CHF ... Hypernatremia #Diagnosis #Workup ... #Algorithm #Nephrology
Management of status epilepticus

Big thanks to Dr. Grossman, one of MetroHealth's neurocritical care attendings for his
- MH/CCF/CWRU ... Management #Seizure #Algorithm ... #CriticalCare #
Diagnostic algorithm for a child or adolescent with suspected pulmonary hypertension. CHD, congenital heart disease; CPET,
Diagnostic algorithm ... CHD, congenital ... #Hypertension #Workup ... #Algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In CHF, decreases ... Indications: • CHF ... patients (ie., CHF ... status • Won't Work ... #indications #criticalcare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
overdiuresis of a Wet ... congested (“Cold & Wet ... #differential #algorithm ... #heartfailure #chf ... #criticalcare #
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 • Chronic Myocardial Injury: End
Diagnosis and Workup ... Algorithm • ... Tachycardia-induced HF ... Differential #Diagnosis #Algorithm
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm