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diagnosis
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Capnography and 12 Common Waves - Credit: Charlie Alvarenga #Diagnosis #CriticalCare #Capnography #Waveforms #Interpretation #ETCO2 #EndTidalCO2 #pulmonary
Simplified Algorithm for cardiac arrest (Adapted from ACLS 2010) #Management #ACLS #LifeSupport #Cardiac #Arrest #Algorithm #HsTs #HTs #Differential #Ddxof
Pre RSI Checklist I also simplified, clarified, and improved every aspect of the checklist. So here is the 2.0 version. The original is still great, it may just take a few seconds longer to use the old one. This is a no bullshit, less than 60 second version that has been field-tested 100's of times. #Management #CriticalCare #Anesthesia #RSI #Checklist #Emcrit #RapidSequence #Intubation
How to tell Serotonin Syndrome from Neuroleptic Malignant Syndrome #Diagnosis #Serotonin #Syndrome #NMS #NeurolepticMalignant #Comparison #Table
After emergency intubation, 33% percent of older adults die during the index hospitalization. #EBM #PatientInfo #Geriatrics #Elderly #Intubation #Mortality #SurvivalToDischarge #DecisionAid #Arrest #Prognosis
11 unforgettable ECG patterns strongly suggestive of coronary occlusion #Diagnosis #Cardiology #EKG #ECG #Patterns #Coronary #Occlusion #Wellens #DeWinter #Sgarbossa #STEMI #Equivalents #RedFlags
2 Percent MACE Image - After calculating the risk for acute coronary syndrome, select the corresponding decision aid to be used during the encounter. When selecting the appropriate decision aid, we recommend selecting the decision aid with the most conservative (i.e. highest) risk estimate. For example, if the HEART score is 0 and the risk is 0.9 to 1.7%, then select the decision aid representing 2% risk. #Management #PatientInfo #Cardiology #ChestPain #LowRisk #Percent2 #DecisionAid #SharedDecisionMaking
ETT depth may be predicted based on the patient’s height. This has been validated among both men and women, across different ethnicities, and among both adults and taller children. A height-based algorithm can easily be implemented by attaching a table to determine ETT depth and tidal volume to your airway checklist (example below). This table may simultaneously improve two aspects of post-intubation safety. #Management #CriticalCare #Intubation #Airway #Checklist #ETTDepths #TidalVolumes #Table #PulmCrit
Antidepressant Medications Decision Aid - The choice of depression medications in primary care is difficult as there are many choices. - The best evidence does not indicate clear winners in terms of efficacy (recent AHRQ Synthesis). - The choice is then mostly across agents' toxicity, burdens, and costs, issues patients care about. #Management #PatientInfo #PrimaryCare #Psychiatry #DecisionAid #SSRIs #Antidepressants #Comparison #SideEffects #SNRIs #Selection #Pharmacology #medications
Balanced Crystalloids vs. NormalSaline - My infographic about SALT-ED and SMART trial comparing crystalloids and saline for the critically and noncritically ill patients. SALT-ED - Balanced Crystalloids versus Saline in Noncritically Ill Adults - No difference in hospital-free days between treatment with BC and NS. - Stage 2 AKI patients or those with borderline renal failure or hyperchloremia had the largest benefit from balanced crystalloids. March 1, 2018 N Engl J Med 2018; 378:819-828 https://www.nejm.org/doi/full/10.1056/NEJMoa1711586 SMART - Balanced Crystalloids versus Saline in Critically Ill Adults - The use of balanced crystalloids resulted in a lower rate of MAKE30 than the use of saline. - The largest benefit appears to be in the septic subset of patients with a NNT of 20. March 1, 2018 N Engl J Med 2018; 378:829-839 https://www.nejm.org/doi/10.1056/NEJMoa1711584 #SALTED #SMART #Balanced #Crystalloids #Saline #AKI #VisualAbstract #LR #EBM #Nephrology
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