7 results
Mediastinal Widening - Differential Diagnosis

 • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
anourysm, Enlarged pulmonary ... ex: duplicated SVC ... ) • Pulmonary: ... Middle mediastinal, Posterior ... Differential #Diagnosis #pulmonary
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
• Establish IV ... veins, dilated IVC ... Tamponade - Pulmonary ... Flat, collapsible IVC ... Management #Summary #criticalcare
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... alteplase = 100mg IV ... kg (up to 50mg IV ... @nickmmark #Pulmonary ... AcutePE #Management #CriticalCare
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
Adjunctive therapies: IV ... Heliox, Ketamine, IV ... #Exacerbation #CriticalCare ... #pulmonary #ventilation
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
Pulmonary Artery ... Ultrasound: • IVC ... measuring the IVC ... • PULMONARY A ... testing #diagnosis #criticalcare
Work Shifting - Mechanical Ventilation
Why the new term:
Synchrony issues, by definition, have to do with timing.
See graphic for VC-CMVs ... Troubleshooting #diagnosis #criticalcare ... #pulmonary
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
75 mg BID (or IV ... acid 1.5 grams IV ... thiamine 200 mg IV ... lab-confirmed influenza, pulmonary ... Checklist #Management #CriticalCare