21 results
Kussmaul Breathing in Lactic Acidosis
Acute non-cardiopulmonary dyspnoea. 70 ys, DM, vomiting and URQ abdominal pain since
Kussmaul Breathing ... On CT scan, abdominal ... Kussmaul breathing ... #Respirations #Clinical ... #PhysicalExam #Pulmonary
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... by CXR, so use CT ... identify also pulmonary ... #Flail #Chest #Breathing ... #PhysicalExam #clinical
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... by CXR, so use CT ... identify also pulmonary ... #Flail #Chest #Breathing ... #PhysicalExam #clinical
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
• High work of breathing ... increased work of breathing ... #Exacerbation #CriticalCare ... #pulmonary #ventilation ... #mechanical #management
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Syndrome – ARDS: Clinical ... leading to increased pulmonary ... consistent with pulmonary ... be detected on CT ... #CriticalCare
Flail Chest- Check out the paradoxical chest wall movement 
Typical management: opiates for analgesia, intubation due
movement Typical management ... #Flail #Chest #Breathing ... Trauma #Video #Clinical ... #PhysicalExam #Pulmonary
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... on scores and clinical ... @nickmmark #Pulmonary ... prognostication #diagnosis #management ... stratification #criticalcare
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TEE) • Chest CT ... endocarditis w/ septic pulmonary ... Internet Book of Critical ... Endocarditis #checklist #criticalcare ... #diagnosis #management
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... pressure (PEEP) for pulmonary ... remove work of breathing ... #Shock #Management ... #CriticalCare
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
week of a known clinical ... consistent with pulmonary ... computed tomographic (CT ... lung collapse, or pulmonary ... Criteria #Diagnosis #CriticalCare