16 results
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
(e.g. pregnant ... - Pulmonary edema ... chronic renal failure ... Emergency #Diagnosis #Algorithm ... #CriticalCare #
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
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... suspected - TSH and ... or pulmonary hypertension ... edema in hypotensive ... #HeartFailure #Cardiology
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
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
two measurements at ... Proteinuria (e.g ... doubling of Cr), pulmonary ... patients • HELLP: Syndrome ... htn #obstetrics #cardiology
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
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
syndrome, ARVC) ... • Hypertension, ... Causes: • Hypertension ... 300 = NSVT EKG ... beats) • Heart failure
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
High output heart failure ... atrial fibrillation at ... systolic hypertension ... Acute Coronary Syndrome ... Trauma • Heart Failure