9 results
Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
vitals en route 2) Stabilize ... ) Examination: Pulmonary ... Dyspnea #Management #criticalcare ... #pulmonary #Hypoxia
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Reversibles 3) Stabilize ... veins, dilated IVC ... Tamponade - Pulmonary ... Flat, collapsible IVC ... Management #Summary #criticalcare
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
muscle use • Inability ... Adjunctive therapies: IV ... Heliox, Ketamine, IV ... #Exacerbation #CriticalCare ... #pulmonary #ventilation
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
RV Strain in Pulmonary Embolism on POCUS Echocardiogram

A patient is brought by EMS intubated and hypotensive.
RV Strain in Pulmonary ... massive embolus-->LV inability ... followed by 90mg iv ... #RVStrain #Pulmonary
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Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
vital capacity (FVC ... fastest approach to stabilize ... high-dose magnesium, IV ... Checklist #Management #CriticalCare
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