Mechanical Ventilation in Intra-Abdominal Hypertension (IAH) How to set the ventilator right. - Dr. Manu Malbrain @Manu_Malbrain #Mechanical #Ventilation #Ventilator #Settings #IntraAbdominalHypertension #IAH #CriticalCare #Management

Safety of Cardiovascular Medications During Pregnancy - Considered safe - Limited data/to be used with caution - Contraindicated - Conflicting data/unknown Original Source: http://www.onlinejacc.org/content/73/4/457 #Safety #Cardiovascular #Medications #Pregnancy #Cardiology #Obstetrics #OBGyn

Vasopressor Basic Flow Chart - Emcrit 2014 #Vasopressor #Basics #FlowChart #Algorithm #Management #CriticalCare

The Trauma Call Timeline - A trauma team assembles rapidly in response to a major trauma alert and has a dedicated leader, usually an emergency medicine consultant, supported by a multidisciplinary team. - Initial rapid assessment follows the mnemonic ABCD with control of catastrophic bleeding, assessment of airway, breathing, circulation, and disability. - Initial investigations to guide early management include portable radiography for chest and pelvis, point of care testing for venous blood gas analysis, and assessment of coagulation status. - The team leader co-ordinates care, following the principles of damage control resuscitation to control bleeding and restore tissue perfusion. #Trauma #Call #Timeline #Assessment #Teamwork #Approach #Checklist

Approach to Possible Hypertensive Emergency criteria required to diagnose hypertensive emergency (1) Severe hypertension - Usually a MAP of at least >135 mm is needed to cause a hypertensive emergency. - This may vary considerably depending on the patient's baseline Bp. Hypertensive emergency can occur at lower MAPs in previously normotensive patients who have acute hypertension (e.g. pregnant women with preeclampsia). Alternatively, patients with chronic hypertension may have extremely elevated Bp without hypertensive emergency. (2) Target organ damage, such as: - Acute kidney injury (often with microscopic hematuria) - Myocardial ischemia (type-II myocardial ischemia). - Pulmonary edema - Hypertensive encephalopathy (visual disturbance, seizure, delirium). In situations where this is unclear, the presence of increased optic nerve sheath diameter on ultrasonography might support the diagnosis of hypertensive encephalopathy with increased intracranial pressure. (Note: Epistaxis, proteinuria, or chronic renal failure don't qualify as target organ damage.) Dr. Josh Farkas https://twitter.com/PulmCrit #Hypertensive #Emergency #Diagnosis #Algorithm #CriticalCare #Urgency

Chest Pain Differential By Symptom Characteristics - Dr. Andrew Perry https://twitter.com/Perrycardium #ChestPain #Differential #Symptoms #Characteristics #Diagnosis

Delirium Causes: PInCH ME Mnemonic - Jon Carter @learnedjon #Delirium #Causes #PInCHME #Mnemonic #Differential #Diagnosis #Geriatrics

Nephron Pathophysiology Study Guide - Proximal Tubule - Loop of Henle - Distal Tubule - Collecting Duct The Kidney Zone #Nephron #Nephrology #Pathophysiology #Overview #Tubules #Duct #LoopOfHenle #Map

Time Critical Medications in the Emergency Department “There are many regular yet critical medications that MUST be given to patients whilst in the Emergency Department. Time is of the essence.” #Medications #TimeCritical #Restart #EmergencyMedicine #Checklist

History (1942-2019) of the Canada Food Guide - Professor James McCormack @medmyths #Canada #Food #Guideline #Canadian #History #Nutrition