40 results
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Rapid Response Management ... 1) Ask for vitals ... directed approach • Cardiogenic ... #Hypotension #Management ... #criticalcare #
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC ... visualization with use of ultrasound ... TIMI III flow in all ... DCSI #Initiative #Management ... #Cardiology
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Adrenalin - "Epi" - ACLS ... Dobutamine - Dobutrex - Cardiogenic ... Milrinone - Primacor - Cardiogenic ... Vasopressors #Inotropes #management ... #criticalcare #
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... (no B-lines on ultrasound ... NSAlDs, ACE-inhibitors ... #HeartFailure #Cardiology ... #Management
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
dislocation • ED Management ... Scaphoid #Carpal #Radiology ... XRay #Diagnosis #Management ... #Orthopedics #Sports ... #MSK
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Prognostication based on scores ... class (30-day all ... prognostication #diagnosis #management ... stratification #criticalcare
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
Driving pressure supports ... CongestiveHeartFailure #Management ... #CriticalCare # ... Cardiology
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
fracture • ED Management ... Dislocation #Posterior #Radiology ... XRay #Diagnosis #Management ... #Orthopedics #Sports ... #MSK
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Setup - Ultrasound ... resuscitation • Cardiogenic ... Shock #Diagnosis #Management ... #Summary #criticalcare
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
- Acute HF, Cardiogenic ... agent, steroids, AC ... Myocarditis #diagnosis #management ... #cardiology #summary