26 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
and mortality BPAP ... exacerbation (cardiogenic pulmonary ... hair) • Risk Of Clinical ... #BPAP #indications ... #criticalcare #
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
High CO / Low SVR ... Failure, Toxins/Medications ... , CVP > 12 • Pulmonary ... Embolism, Tension ... Diagnosis #Types #criticalcare
#EKG taken on a patient with an acute pulmonary embolism with right heart strain showing tachycardia,
with an acute pulmonary ... embolism with right ... branch block, ST ... in V1 - V4 #Clinical ... pulmonaryembolism #AcutePE #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
High CO / Low SVR ... Failure, Toxins/Medications ... • Obstructive: Pulmonary ... Embolism, Tension ... Differential #Diagnosis #criticalcare
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... on scores and clinical ... @nickmmark #Pulmonary ... #Embolism #Risk ... stratification #criticalcare
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... - Indications ... @nickmmark #Pulmonary ... #Embolism #Treatment ... AcutePE #Management #CriticalCare
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 • Tracheobronchial:
Primary Vascular: Pulmonary ... Embolism, Vasculitis ... Management: 1) Indications ... Diagnosis #Management #pulmonary ... #criticalcare
Diagnostic Algorithm for Suspected Pulmonary Embolism

Well's Criteria for PE
 • Clinical Signs and Symptoms of DVT
for Suspected Pulmonary ... Embolism Well's ... Criteria for PE • Clinical ... and Symptoms of DVT ... 1.5 • Previous DVT
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Cardiac Tamponade, Pulmonary ... Embolism, Outflow ... Pipes Problem (↓ SVR ... thyrotoxicosis), Medications ... guyton #curves #criticalcare
Perform computations online at:
ScyMed.com
6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

→
↑
RV
→ ↓ → →↑ Pulmonary ... Embolism ↓ ↑ ... +2PDP)/3 Mean Pulmonary ... )*79.92)/CO Pulmonary ... )*79.92)/CI Pulmonary