18 results
Management of status epilepticus

Big thanks to Dr. Grossman, one of MetroHealth's neurocritical care attendings for his
- MH/CCF/CWRU ... Management #Seizure #Algorithm ... #CriticalCare #
ETT depth may be predicted based on the patient’s height.  This has been validated among
A height-based algorithm ... by attaching a table ... This table may simultaneously ... #Management #CriticalCare ... #TidalVolumes #Table
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration in CHF ... pressure supports the work ... BiPAP #Titration #CHF ... CongestiveHeartFailure #Management #CriticalCare
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Diagnosis and Workup ... HYPERVOLEMIC • CHF ... Hypernatremia #Diagnosis #Workup ... #Algorithm #Nephrology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... pulmonary disease or CHF ... pulmonary disease or CHF ... underlying cause #Stable ... management #cardiology #algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 • Chronic Myocardial Injury: End
Diagnosis and Workup ... Algorithm • ... Occlusion • Stable ... Differential #Diagnosis #Algorithm
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In CHF, decreases ... Indications: • CHF ... patients (ie., CHF ... status • Won't Work ... #indications #criticalcare
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Differential Diagnosis Algorithm ... Artery Disease • Stable ... Interstitium • ILD • CHF ... Differential #Diagnosis #Algorithm
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm