14 results
RV Strain in Pulmonary Embolism on POCUS Echocardiogram

A patient is brought by EMS intubated and hypotensive.
RV Strain in Pulmonary ... Embolism on POCUS ... -->LV inability ... followed by 90mg iv ... #RVStrain #Pulmonary
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... Treatment Systemic ... kg (up to 50mg IV ... @nickmmark #Pulmonary ... #Embolism #Treatment
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... • Obstructive: Pulmonary ... Embolism, Tension ... Dehydration Shock Treatment ... criticalcare #algorithm #treatment
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 ... #criticalcare #treatment
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
heart disease • IV ... substance use • IV ... Cerebral > Splenic, pulmonary ... Marantic (NTBE) Differential ... • IV Antibiotics
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
muscle use • Inability ... of baseline Treatments ... Heliox, Ketamine, IV ... #CriticalCare #pulmonary ... mechanical #management #treatment
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
and Management Differential ... Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... Embolism, Pneumothorax ... diagnosis #Management #treatment
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
- Overview and Differential ... heart disease • IV ... Cerebral > Splenic, Pulmonary ... hematuria, + RF Treatment ... #Endocarditis #Differential
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... Cardiac Tamponade, Pulmonary ... Embolism, Outflow ... amniotic or fat embolism ... Shock #diagnosis #differential
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
caused by the inability ... approach to the differential ... Treatment: Treatment ... through a peripheral IV ... #Hyponatremia #Differential