31 results
Acute Pulmonary Embolism - Management Algorithms
 - Hemodynamically Stable Patients
 - Hemodynamically Unstable Patients

- Dr. Eric
Acute Pulmonary ... Hemodynamically Stable ... EricsMedicalLectures/ #Pulmonary ... #Embolism #acutePE ... Management #Algorithm #treatment
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
• Effusion • Cardiac ... Artery Disease • Stable ... Angina • Acute ... Vessels • Pulmonary ... • Metabolic Acidosis
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... Treatment Systemic ... #Embolism #Treatment ... #AcutePE #Management ... #CriticalCare
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
contractility) - Acute ... flow) - Massive pulmonary ... Classification #Table ... #CriticalCare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
• Obstructive: Pulmonary ... Pneumothorax, Cardiac ... Dehydration Shock Treatment ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
anion-gap metabolic acidosis ... 5) History of acute ... , Diaphoresis, Pulmonary ... Anion-Gap Metabolic Acidosis ... diagnosis #management #Treatment
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
cardiogenic shock (eg, acute ... hypertension or cardiac ... measured on PAC are -cardiac ... output (ie, cardiac ... #Differential #Table
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Cardiogenic (Intra-cardiac ... heart failure, acute ... → tension PTX, cardiac ... Differential #Diagnosis #table ... #comparison #criticalcare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Tamponade - Pulmonary ... >> Acute PE, Tension ... Cardiac surgery? ... Management #Summary #criticalcare ... #treatment #workup
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
perfusion - Cardiac ... failure - Low cardiac ... output - Acute ... pulmonary edema ... peritonitis - Acute