33 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration in CHF ... Driving pressure supports ... CongestiveHeartFailure #Management ... #CriticalCare # ... Cardiology
HFrEF - Low Ejection Fraction on Physical Exam - Likelihood Ratios
 - Displaced Apical Impulse
 -
Response - Elevated Neck ... #HFrEF #LowEF #PhysicalExam ... LRs #diagnosis #cardiology ... #CHF
Management of status epilepticus

Big thanks to Dr. Grossman, one of MetroHealth's neurocritical care attendings for his
Management of status ... summary on the management ... - MH/CCF/CWRU ... Seizure #Algorithm #CriticalCare ... #Neurology
Understanding & Treating ARDS - Acute Respiratory Distress Syndrome

•  Timing - within one week of
volume overload or CHF ... ratio < 300 Nick ... Syndrome #Diagnosis #Management ... #CriticalCare
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Prognostication based on scores ... infographic by Nick ... prognostication #diagnosis #management ... stratification #criticalcare
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

-
of right-sided HF ... Kussmauls #Sign #physicalexam ... clinical #video #jvp #cardiology ... #neck #jugular
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
DIURETICS which are short ... aldosterone states (CHF ... - Nick Mark ... Fluid #Balance #management ... #criticalcare
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Friedreich's Sign on Neck ... small blue-colored spot ... #Friedreichs #Neck ... #JVP #PhysicalExam ... Clinical #Video #Cardiology
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
In short, best outcomes ... #Management #Neurology ... #CriticalCare #
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
fractures • ED Management ... 1 week MH/CCF ... Wrist #Carpal #Radiology ... XRay #Diagnosis #Management ... #Orthopedics #Sports