25 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration in CHF ... Driving pressure supports ... BiPAP #Titration #CHF ... CongestiveHeartFailure #Management ... #CriticalCare #
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... Arrhythmias / CHB ... vasoactive drug pharmacology ... Vasoactive #Drugs #pharmacology ... inopressors #diagnosis #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Decompensated CHF ... Dehydration Shock ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Algorithm for bradycardic peri-arrest 
 - Bradycardiac peri-arrest may be loosely defined as severe bradycardia with
bradycardia with marked shock ... electrical & medical ... respond best to medical ... Periarrest #Algorithm #Management ... #CriticalCare
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... in refractory shock ... Vasopressors #Inotropes #management ... #criticalcare # ... comparison #table #pharmacology
Vasopressors Demystified

Shock comes in many flavors and so do vasopressors. Here’s a OnePager summarizing my approach
Demystified Shock ... Vasopressors #Basics #CriticalCare ... #Management #Pharmacology
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Prognostication based on scores ... Transient Hypotension, Shock ... prognostication #diagnosis #management ... stratification #criticalcare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Oliguria • Altered Mental ... #Diagnosis #Management ... #Summary #criticalcare
Pressors and Inotropes

Norepinephrine
 • alpha1 > beta 1
 • Increase SVR > Inotropy
Vasopressin
 • V1
 •
Pressors #Inotropes #criticalcare ... #pharmacology # ... comparison #shock ... #management
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
styloid fracture, median ... injury • ED Management ... repair MH/CCF ... XRay #Diagnosis #Management ... #Orthopedics #Sports