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schema bipap cardiology diagnosis failure fibrillation hypoxia respiratory support afib anticoagulation arrest coronavirus cpr empiric evaluation guidelines hfnc highflow initiation
COVID-19 Hypoxia Management Indication for endotracheal intubation? Tolerating supplemental oxygen? Consider HFNC Not tolerating HFNC or HFNC is not available? Consider
COVID-19 Hypoxia ... Management Indication ... CONSIDER: a trial ... #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 •
Atrial Fibrillation ... intolerance, chest pain, near-syncope ... Noncardiac: • Pulmonary ... Fibrillation #Cardiology #Management ... #Algorithm
Prone Cardiopulmonary Resuscitation (P-CPR) - Confirm cardiac arrest - Shout for help - Commence prone CPR
(Mid-thoracic level ... End tidal CO2 / arterial ... Arrest #CPR #PCPR #algorithm ... #management #criticalcare
Approach to Selecting Respiratory Support: -The role of noninvasive respiratory support is generally to reduce the patient's
-Serial evaluation ... #Management #CriticalCare ... #BiPAP #BiLevel ... RespiratorySupport #Selection #Algorithm
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 General schema for respiratory support in patients with COVID-19 Low flow nasal cannula • Typically set at
patients with COVID ... ECMO center or team ... #management #schema ... #criticalcare # ... hypoxia #failure #algorithm
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
intolerance, chest pain, near-syncope ... Noncardiac: • Pulmonary ... Testing: • TSH level ... thrombus • Digoxin level ... AFib #diagnosis #management
BiPAP Initiation Algorithm Screen for contraindications: • Obtundation (unarousable) • Inability to wear a mask (wounds) •
BiPAP Initiation Algorithm ... • Inability to wear ... hemoptysis, Copious pulmonary ... 3rEtbK8 #BiPAP #BiLevel ... #management
Clinical Management for Three Common Causes of Shock HEMORRHAGIC SHOCK • Ensure adequate ventilation and oxygenation.
Clinical Management ... dysrhythmias (eg, atrial ... pressure (PEEP) for pulmonary ... #Shock #Management ... #CriticalCare
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
anticoagulation in COVID ... anticoagulation #COVID19 ... #management #schema ... #criticalcare # ... algorithm #SARSCOV2
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... event, follow ACC algorithm ... echo in the last year ... days before Pulmonary ... medical and surgical management
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