76 results
#EKG taken on a patient with an acute pulmonary embolism with right heart strain showing tachycardia,
patient with an acute ... pulmonary embolism ... branch block, ST ... in V1 - V4 #Clinical ... #criticalcare #
Pharmacologic prophylaxis of VTE in selected clinical scenarios.

Enoxaparin 
Dalteparin 
Fondaparinux 
Dabigatran 
Unfractionated Heparin
Warfarin 
Aspirin 

#prophylaxis #VTE
VTE in selected clinical ... prophylaxis #VTE #DVT ... #dosing #Medications ... #management #indications
Pressors and Inotropes

Norepinephrine
 • alpha1 > beta 1
 • Increase SVR > Inotropy
Vasopressin
 • V1
 •
1 • Increase SVR ... 1 • Increase SVR ... Pressors #Inotropes #criticalcare ... #pharmacology #comparison ... #shock #management
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
High CO / Low SVR ... Failure, Toxins/Medications ... Low CO / High SVR ... , CVP > 12 • Pulmonary ... Diagnosis #Types #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
High CO / Low SVR ... Failure, Toxins/Medications ... • Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... - Indications ... @nickmmark #Pulmonary ... Embolism #Treatment #AcutePE ... #Management #CriticalCare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
exacerbation (cardiogenic pulmonary ... COPD) • Other acute ... hair) • Risk Of Clinical ... #criticalcare # ... management
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Framework MAP = CO x SVR ... heart failure, acute ... PAH • ↓ CO, ↑ SVR ... Diagnosis #table #comparison ... #criticalcare
Central Venous Catheter site selection - Clinical Decision Aid
IJ vs Subclavian vs Supraclavicular vs Femoral by
site selection - Clinical ... of infection, DVT ... @broomedocs #Management ... #CriticalCare #
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 • Tracheobronchial:
Framework and Management ... Primary Vascular: Pulmonary ... Coagulopathy Initial Management ... : 1) Indications ... #pulmonary #criticalcare