15 results
Graded Oxygen Administration in COVID-19

#respiratory #support #COVID19 #management #schema #criticalcare #hypoxia #failure #algorithm #coronavirus #sarscov2 #oxygen
COVID19 #management #schema ... #criticalcare # ... hypoxia #failure #algorithm
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
Decompensated HF • New ischemia ... Anticoagulation ... Cardiology #Management #Algorithm
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID19 #management #schema ... #criticalcare # ... hypoxia #failure #algorithm
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... COVID19 #management #schema ... #criticalcare # ... hypoxia #failure #algorithm
Possible approach to empiric anticoagulation in COVID-19

Is D-dimer above '"1,000-2,000 ng/ml?
Contraindication to anticoagulation?
Check fibrinogen level and/or
approach to empiric anticoagulation ... -> Therapeutic Anticoagulation ... COVID19 #management #schema ... #criticalcare # ... algorithm #SARSCOV2
Severe Asthma Algorithm - Management of Life-Threatening Asthma in the Emergency Department
Step One
1. Nebulized Albuterol
2. Nebulized
Severe Asthma Algorithm ... rhythm or cardiac ischemia ... Emergency #Management #CriticalCare ... #Exacerbation #Algorithm
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Differential Diagnosis Algorithm ... Papillary Muscle Dysfunction ... • Ischemia ... Differential #Diagnosis #Algorithm
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for ... COVID19 #management #schema ... #criticalcare # ... hypoxia #failure #algorithm
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Hypoxemia, Regional Ischemia ... infection, Mesenteric Ischemia ... Microcirculatory dysfunction ... Mitochondrial dysfunction ... Differential #Diagnosis #criticalcare
Possible Approach to Immunosuppression in Severe COVID-19

The diagnosis and treatment of cytokine storm remains unknown and
iBookCC #empiric #anticoagulation ... COVID19 #management #schema ... #criticalcare # ... algorithm #SARSCOV2