40 results
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
(ACLF) Clinical ... Guidelines ACLF ... Hepatitis Procedures Management ... Cirrhosis #Hepatology #gastroenterology ... #management #diagnosis
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID-19 Hypoxia Management ... Indication for ... Consider Indication ... #schema #criticalcare ... #hypoxia #failure
Medications Used in Hypertensive Emergencies
Vasodilators: Hydralazine, Nitroglycerin, Sodium nitroprusside 
Calcium Channel Blockers: Clevidipine, Nicardipine
ß-Blockers: Esmolol, Labetalol,
Medications Used ... Labetalol, Metoprolol ACE ... #Hypertension #Medications ... #Management #Treatment ... #Pharmacology #Table
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Norepinephrine (NE) - Indication ... Vasopressin - Indication ... Can be used in all ... Inotropes #comparison #table ... #pharmacology #criticalcare
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
beneficial in all ... VV-ECMO • indicatons ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
acute respiratory failure ... Chronic respiratory failure ... Pt is DNI with indication ... #criticalcare # ... management
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Adrenalin - "Epi" - ACLS ... Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison #table ... #pharmacology #indications
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
class (30-day all ... Hemodynamics (Stable ... prognostication #diagnosis #management ... stratification #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver Failure ... , Toxins/Medications ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Glaucoma - Emergency Department Management
- All patients should get emergency ophthalmologic consultation
- Start with eye drops
Emergency Department Management ... - All patients ... eye drops (see table ... #Pharmacology #Management ... #Table