31 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration in CHF ... Driving pressure supports ... BiPAP #Titration #CHF ... CongestiveHeartFailure #Management ... #CriticalCare #
Understanding & Treating ARDS - Acute Respiratory Distress Syndrome

•  Timing - within one week of
Respiratory Distress Syndrome ... volume overload or CHF ... Distress #Acute #Syndrome ... #Diagnosis #Management ... #CriticalCare
Management of status epilepticus

Big thanks to Dr. Grossman, one of MetroHealth's neurocritical care attendings for his
Management of status ... summary on the management ... - MH/CCF/CWRU ... Seizure #Algorithm #CriticalCare ... #Neurology
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
underlying cause (CHF ... cirrhosis, nephrotic syndrome ... Potomania - Tea ... Algorithm #diagnosis #nephrology
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Guillain-Barre Syndrome ... cases/100,000 per year ... • Weakness: Starts ... #diagnosis #management ... #treatment #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
6mm); • Light-near ... Holmes-Adie Syndrome ... - no light-near ... #PhysicalExam #neurology ... #ophthalmology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... Abdominal compartment syndrome ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
in the lunate ("tea ... sit in lunate "tea ... injury • ED Management ... repair MH/CCF ... #Orthopedics #Sports
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Demyelination Syndrome ... desmopressin MH/CCF ... Correction #goal #rate #management ... #nephrology
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
DIURETICS which are short ... aldosterone states (CHF ... Early nephrologv ... Fluid #Balance #management ... #criticalcare