Hypoxia & Hypoxemia
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What's the difference between Hypoxia & Hypoxemia
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Friday
Blood pressure management in acute intracerebral hemorrhage
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Does intensive blood pressure lowering to a target of < 140 mm Hg versus < 180 mm Hg impact outcome after acute intracerebral hemorrhage? Are there risks associated with targeting a lower systolic blood pressure?
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New uses for the tube of truth
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The sudden death CT may help identify the cause of an out-of-hospital cardiac arrest.
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Management of Life-Threatening Asthma
The patient with life-threatening asthma requires a cool head and swift action. This video disucsses the essentials to manage these critically ill patients.
Watch here
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Improving Oxygenation & Ventilation
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You are on your critical care rotation helping take care of multiple ventilated patients. At the end of your night shift, one of the respiratory therapists comes up to you and says, “Hey, the new ABG just came back. It is 7.25/52/70/24 .” What do these numbers mean and what can you do to help?
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Ventilator management of bronchopleural fistula
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A 47-year-old man with COVID-19 pneumonia complicated by severe acute respiratory distress syndrome (ARDS) suddenly desaturates. Point-of-care ultrasound and chest x-ray are consistent with pneumothorax. After placement of a pigtail catheter, hypoxemia persists and a large continuous air leak is present. What are the next steps in management of a suspected bronchopleural fistula?
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The Crashing Ventilated Patient
Watch this critbits video to learn about managing the crashing ventilated patient
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Arterial Lines
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You’re working in the ICU overnight and are having difficulty obtaining a blood pressure for a patient that was just transferred to your facility for septic shock secondary to pneumonia. You make the decision to place an arterial line. You place the line sterilely using seldinger technique and connect it to the monitor. Your hard work paid off and you are rewarded with a waveform.
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Mechanical ventilation strategies in status asthmaticus
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Less than 5 percent of patients hospitalized for acute asthma exacerbation will require mechanical ventilatory support. However, ventilator management in status asthmaticus is unique and the impact of increased airway resistance on ventilation strategies must be understood to avoid life-threatening complications like severe acidosis, barotrauma and hypotension.
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To 2021 - Happy New Year
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Today’s EM-critical care post isn’t about a new study or a tip or trick, but a chance to look backward and forward.
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