8 results
ICU Pre-Rounding Bundle Checklist
VITALS: trends!
 • Important to know if the pt is getting better or
ICU Pre-Rounding ... • AC/VC (VTE/RR/ ... P plateau) • AC ... (how long on/off ... #CriticalCare #Management
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hypoxemia - Workup and Management ... (JVP, edema), Lung ... Exam, POCUS (B-lines ... , lung sliding) ... Edema: Lasix + BP
Pulmonary Contusion on Lung POCUS

A 20yo M presents after high speed MVA. BP 140/80, HR 95,
Pulmonary Contusion on Lung ... BP 140/80, HR 95 ... which is the best management ... supportive care Labeled ... Pulmonary #Contusion #Lung
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
II (3) 60-100 bpm ... V-pacemaker, ↑K, ICD ... Short QT <300-360 ms ... : ↑ca - Long QT ... Approach #ECG #EKG #diagnosis
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Exam showed BP 100 ... edema, and clear lungs ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #pocus #clinical
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
stairs, brisk 4 mph ... indication of AC ... unless prior heart/lung ... medical and surgical management ... stratification #diagnosis
CABG Graft Pseudoaneurysm

Chest pain post CABG - always worth taking a look!  Large graft pseudoaneurysm!!
COPD lungs and bad ... and emphysema, ask ... chest showed the diagnosis ... anticoags - VCU ... Pseudoaneurysm #clinical #pocus
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia
Unexplained increase in ETCO2 AND tachycardia AND increased
hyperventilate lungs ... • Ice packing ... temperature, invasive BP ... Intraoperative #Checklist #Diagnosis ... #Management #Workup