26 results
#EKG taken on a patient with an acute pulmonary embolism with right heart strain showing tachycardia,
#EKG taken on a ... patient with an acute ... pulmonary embolism ... branch block, ST ... #criticalcare #
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
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
and Differential Diagnosis ... Failure, Toxins/Medications ... , CVP > 12 • Pulmonary ... Embolism, Tension ... #Types #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Failure, Toxins/Medications ... • Obstructive: Pulmonary ... Embolism, Tension ... ) UOP > 0.5 cc/kg ... #criticalcare #
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
- Differential Diagnosis ... heart failure, acute ... #Differential #Diagnosis ... #table #comparison ... #criticalcare
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... - Indications ... Low dose 0.5 mg/kg ... #AcutePE #Management ... #CriticalCare
Noninvasive Positive Pressure Ventilation (NIPPV)

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