Acute Respiratory Failure: NIV Implementation and Intubation
Fig. 5.1 Chest x-ray Question What is the next appropriate step in the management of this patient? Answer Depending on her goals of care, this patient should most likely be…
Accidental Hypothermia
Fig. 9.1 Classic electrocardiogram findings in hypothermia. This EKG demonstrates three common findings in hypothermia, including bradycardia, shivering artifact, and J-waves (Image courtesy of lifeinthefastlane.com) Question What is the next…
Management of Calcium Channel Blocker Poisoning
Fig. 7.1 12-lead EKG revealing sinus bradycardia Question What do you think is causing her hyperglycemia and what therapeutic intervention(s) could be considered at this point to improve her hemodynamic…
Management of Acute Heart Failure
Fig. 11.1 Acute decompensated heart failure patient classification (Adapted from Nohria and Lewis [20], with permission) Diuretic Therapy Fluid removal through intravenous diuresis is an essential management strategy for AHF…
Diagnosis and Management of Tricyclic Antidepressant Ingestion
Fig. 6.1 12-Lead Electrocardiogram obtained at time of patients presentation Question How would you proceed in the management of this patient? Answer This patient now exhibits EKG findings that are…
Understanding the Vital Signs: BP, HR, RR, TEMP, SaO2 … and SV
(1) Division of Pulmonary and Critical Care Medicine, Eastern Virginia Medical School, Norfolk, VA, USA Blood Pressure The Brain-Heart Distance and the Giraffe Theory of Blood Pressure Determination in…
Fluid Responsiveness and Fluid Resuscitation
(1) Division of Pulmonary and Critical Care Medicine, Eastern Virginia Medical School, Norfolk, VA, USA Echocardiographic Assessment of Fluid Responsiveness Static Echocardiographic Parameters Dynamic Echocardiographic Parameters Passive Leg Raising…
Electrolyte Disturbances
(1) Division of Pulmonary and Critical Care Medicine, Eastern Virginia Medical School, Norfolk, VA, USA Sodium and Water Rules of the Game Hyponatremia Hypernatremia Hypokalemia Hyperkalemia Hypophosphatemia Management Hypomagnesemia…
Hospital Acquired Infections and Their Prevention
(1) Division of Pulmonary and Critical Care Medicine, Eastern Virginia Medical School, Norfolk, VA, USA Colonization with Multidrug Resistant Organisms Handwashing and Infection Control Measures Handwashing Chlorhexidine Bathing Gloves…
