20 results
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... - Risk Stratification ... Hemodynamics (Stable ... prognostication #diagnosis #management ... stratification #criticalcare
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... submassive PE (risk ... @nickmmark #Pulmonary ... Treatment #AcutePE #Management ... #CriticalCare
Oxygen Delivery Devices - Comparison
Low Flow:
 • Nasal cannula (1-6L, 24-40% FiO2)
 • Face mask (5-10L,
Oxygen Delivery Devices ... Oxygen #Delivery #Devices ... #Comparison #table ... #pulmonary #criticalcare
CPAP Troubleshooting Tips
1. Wrong size/style mask → try a different mask, nasal pillows
2. Trouble getting used
different mask, nasal pillows ... forced air → use device ... check air filter, device ... Troubleshooting #Tips #management ... #problems #pulmonary
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Any implantable devices ... murmur 3/6) - Pulmonary ... Stable patients ... days before Pulmonary ... medical and surgical management
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
Oxygen Delivery Devices ... Oxygen #Delivery #Devices ... #management #pulmonary ... #criticalcare
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
Oxygen Delivery Devices ... Oxygen #Delivery #Devices ... #management #pulmonary ... #criticalcare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
exacerbation (cardiogenic pulmonary ... Post-extubation in high risk ... facial hair) • Risk ... #indications #criticalcare ... #management
COPD Management Algorithm - GOLD 2019 guidelines 

Categorize into COPD GOLD A-D -> Initiate first-line therapy
COPD Management ... bronchodilators or change devices ... actually increases risk ... have a higher risk ... #Pulmonary #Algorithm
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... guide etiology & management ... increase the risk ... limit them as able ... #CriticalCare