7 results
ICU Hypotension - Evaluation Algorithm

OFTEN Mnemonic:

OWN THE PULSE PRESSURE 

FEEL YOUR PATIENT'S LEGS 

TEST FOR FLUID
ICU Hypotension ... - Evaluation Algorithm ... RESPONSIVENESS ECHO ... MD @vmoitra #ICU ... Hypotension #Evaluation #Algorithm
Costs vs Benefits of ECLS / ECMO in the Emergency Department
#Policy	#EM #PCC	#ECMO #ECLS #Debate #ProsCons #EMPulse
Benefits of ECLS / ECMO ... Department #Policy #EM ... #PCC #ECMO #ECLS
Hantavirus
Pathogen: Hantavirus - Rodents are the primary reservoir
Transmission:
 • Shed in the urine, feces, saliva of
• Hantavirus PCR ... • Autopsy PCR ... • Supportive: ICU ... ventilation • ECMO
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC ... algorithm to determine ... heart disease • Echo ... exam since last echo ... patients with no echo
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Serial trops (-) EM ... resident does echo ... Metoprolol - VCU
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Impella, LVAD, ECMO ... #differential #algorithm ... #criticalcare #icu
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
Normal Saline 1000 cc ... Cardiac Surgeon and ICU ... circulatory support: ECMO ... management #treatment #algorithm