12 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
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
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
New-onset Heart Failure ... Cerebral > Splenic, pulmonary ... occlusion that may ... ↑ ESR, CRP • EKG ... symptomatic heart failure
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
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
High output heart failure ... atrial fibrillation at ... Acute Coronary Syndrome ... Trauma • Heart Failure ... • Infective Endocarditis
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Decompensated Heart Failure ... with presence of pulmonary ... acute coronary syndrome ... #differential #algorithm ... heartfailure #chf #criticalcare
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
possibly renal failure ... have no symptoms at ... of diagnosis (e.g ... Pulmonary: dyspnea ... anterior/posterior MSK
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
New-onset heart failure ... Cerebral > Splenic, Pulmonary ... Cholesterol emboli syndrome ... occlusion that may ... ↑ ESR, CRP • EKG