32 results
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
low flow oxygen (e.g ... while this may ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
patients with COVID ... filter • N95 mask ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver Failure ... • Obstructive: Pulmonary ... Abdominal compartment syndrome ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... suspected - TSH and ... — Optimize the MAP ... chronic AF, HFrEF, and ... #HeartFailure #Cardiology
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... leading to increased pulmonary ... consistent with pulmonary ... overload with heart failure ... Diagnosis #Management #CriticalCare
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
hypertension (e.g ... - Pulmonary edema ... chronic renal failure ... Emergency #Diagnosis #Algorithm ... #CriticalCare #
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Hypoxemic Respiratory Failure ... PATM 760 mm Hg at ... obesity-hypoventilation syndrome ... hepatopulmonary syndrome ... #Respiratory #Failure
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
can be protean and ... CCB, BB, BRASH syndrome ... Cardiac Tamponade, Pulmonary ... cytokine release syndrome ... guyton #curves #criticalcare
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
COVID-19 Intubation ... using BVM: Hold mask ... PPE (use ethanol hand ... Care @iBookCC #COVID19 ... SARSCoV2 #Management #CriticalCare
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
0.9 predicts RV failure ... 1.85 predicts RV failure ... PE, right heart failure ... Ahmed Ghoneem, MD MSc ... catheter #diagnosis #cardiology