9 results
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
of more of the signs ... arrest, start CPR ... as patient is stable ... an appropriate critical ... Intraoperative #Checklist #Diagnosis
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 • Sudden alteration in
Signs of severe ... alteration in mental ... inform immediate clinical ... Start continuous CPR ... Intraoperative #Checklist #Diagnosis
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... valve pathology, History ... in up to 30% of cases ... #Endocarditis #comparison ... #table
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
without other cause ... fluid balance, and CXR ... with pulmonary ... Reactions #hematology #diagnosis ... #comparison #table
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
renal failure Clinical ... e.g. incidental CXR ... • Natural history ... Pulmonary: dyspnea ... #Management #Signs
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
starts with a good history ... with presence of pulmonary ... the determined cause ... cardiology #treatment #table ... heartfailure #chf #criticalcare
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Take a thorough history ... complications from anesthesia ... Medical history ... Change in clinical ... stratification #diagnosis
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
- Differential Diagnosis ... / hypoxemia -> focus ... patient’s complete medical ... history - conduct ... output - Acute pulmonary
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... This patient’s clinical ... presentation and history ... a chest x-ray (CXR ... not seen on a CXR