34 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
POCUS Algorithm for Chest Pain

Integrating POCUS in crashing chest pain is complex. Know the views that
narrowing the differential ... IVC + b-lines help ... POCUS #Algorithm #CriticalCare
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 • Tracheobronchial:
Massive Hemoptysis - Differential ... over 24 hours Differential ... Primary Vascular: Pulmonary ... Diagnosis #Management #pulmonary ... #criticalcare
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... flow) - Massive pulmonary ... DrEricStrong #Shock #Differential ... Classification #Table #CriticalCare
Mediastinal Widening - Differential Diagnosis

 • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
Mediastinal Widening - Differential ... anourysm, Enlarged pulmonary ... ex: duplicated SVC ... ) • Pulmonary: ... Mediastinal #Widening #Differential
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
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Classification and Differential ... , CVP > 12 • Pulmonary ... Classification #Differential ... Diagnosis #Types #criticalcare
Bradycardia - Differential Diagnosis Framework and Management
Narrow Complex Bradycardia:
 • Regular: Sinus Bradycardia, AFib w/ AV
Bradycardia - Differential ... Depending on degree of instability ... #Bradycardia #Differential ... Management #cardiology #criticalcare