22 results
ECG changes in Pulmonary Embolism
 - 
Sinus tachycardia 
 - 
Complete or incomplete RBBB 
 -
ECG changes in Pulmonary ... Embolism - Sinus ... #Embolism #AcutePE ... #EKG #Findings ... #Diagnosis
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... • Non-specific ST-T ... #EKG #Pulmonary ... #Embolism #AcutePE ... #diagnosis #cardiology
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... History and Exam Acute ... Pneumothorax • Pulmonary ... embolism • Cardiac ... : • EKG • Bedside
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
Checklist for Evaluation ... glucose - Review medication ... tox/infectious workup ... Trauma - Acute ... #CriticalCare #Diagnosis
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
However, when the diagnosis ... cardiogenic shock (eg ... , acute valvular ... #Diagnosis #PACatheter ... #SVR
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... endocarditis w/ septic pulmonary ... spleen, brain) Indications ... with multiple embolic ... #criticalcare #diagnosis
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... Failure, Toxins/Medications ... • Obstructive: Pulmonary ... Embolism, Tension ... ) UOP > 0.5 cc/kg
Causes of Peripheral Edema - Differential Diagnosis
Increased Hydrostatic Pressure
 • Volume Expansion: Kidney failure, Pregnancy, Medication
- Differential Diagnosis ... Increased Hydrostatic Pressure ... failure, Pregnancy, Medication ... prednisone, NSAIDs), Acute ... Heart failure, Pulmonary
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
generate larger VT ... exacerbation (cardiogenic pulmonary ... exacerbation (often w/ acute ... COPD) • Other acute ... status • Won't Work
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
↓

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RV
→ ↓ → →↑ Pulmonary ... Embolism ↓ ↑ ... Index CARDIAC WORK ... LCWI 3.4-4.2 kg ... RCWI Cardiac Work