CONTENTS Basics Epidemiology Evolution between different forms Different clinical manifestations: Acute pulmonary coccidioidomycosis Chronic pulmonary coccidioidomycosis Disseminated infection CNS involvement Diagnosis Laboratory tests Bronchoscopy Treatment Questions & discussion abbreviations used in the pulmonary section: 2 ABPA: Allergic bronchopulmonary aspergillosis 📖 AE-ILD: Acute exacerbation of ILD 📖 AEP: Acute eosinophilic pneumonia 📖 AFB: Acid Fast Bacilli […]
Search Results for: airway
Traumatic Spinal Cord Injury (SCI)
CONTENTS Rapid Reference 🚀 Epidemiology Physiology Clinical presentation Evaluation of the injury Spinal shock Imaging Management Airway & breathing Blood pressure targets Dysautonomia: Neurogenic shock Vagal hyperactivity Autonomic dysreflexia Orthostatic hypotension Sphincter dysfunction DVT prophylaxis Steroid Surgery Podcast Questions & discussion Pitfalls common causes of spinal cord trauma (33896529) Motor vehicle collisions, especially among the […]
Hypoglycemia
CONTENTS Rapid Reference 🚀 Why hypoglycemia is dangerous Symptoms Diagnosis Causes Investigation Treatment Severe hypoglycemia Mild & able to take PO Glucagon is generally not helpful Prevention of hypoglycemia in the ICU patient Persistent hypoglycemic encephalopathy Podcast Questions & discussion Pitfalls Prolonged severe hypoglycemia can cause permanent brain damage, similar to anoxic brain injury. Hypoglycemia […]
Right Ventricular failure
CONTENTS Rapid Reference: Approach to RV failure 🚀 Preamble: Don’t forget the right ventricle! Pathophysiology of RV failure RV death spiral RV myocardial perfusion Falling off the Starling curve Occult systemic hypoperfusion Diagnosis of RV failure Defining RV failure Physical exam findings Lab findings Radiology EKG Echocardiography Causes of right ventricular failure Chronic pulmonary hypertension […]
Nonspecific interstitial pneumonia (NSIP)
CONTENTS Basics Epidemiology Causes Clinical presentation Radiology IPF vs. NSIP Treatment Questions & discussion abbreviations used in the pulmonary section: ABPA: Allergic bronchopulmonary aspergillosis 📖 AE-ILD: Acute exacerbation of ILD 📖 AEP: Acute eosinophilic pneumonia 📖 AIP: Acute interstitial pneumonia (Hamman-Rich syndrome) 📖 ANA: Antinuclear antibody 📖 ANCA: Antineutrophil cytoplasmic antibodies 📖 ARDS: Acute respiratory […]
EMCrit 181 – Pulmonary Hypertension and Right Ventricular Failure with Susan Wilcox
Pulmonary Hypertension and Acute on Chronic RV Failure
Intracerebral hemorrhage (ICH)
CONTENTS Rapid Reference 🚀 Pathophysiology Causes of ICH Imaging Getting started – Which scans to order initially Noncontrast CT scan CT angiography +/- venography MRI Invasive angiography Treatment Airway management Anticoagulation reversal Blood pressure management Neurosurgical interventions Supratentorial hematoma evacuation Cerebellar hematoma Intraventricular hemorrhage & EVD Seizure monitoring & management Other supportive measures Prognostication Related […]
EHPR Part 4: Mastering Your Internal Dialogue by Mike Lauria
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Neurogenic Pulmonary Edema
CONTENTS Pathophysiology Causes Clinical presentation Differential diagnosis Investigations to consider Treatment Podcast Questions & discussion Pitfalls general mechanisms of neurogenic pulmonary edema (1) The primary mechanism appears to be increased sympathetic outflow from the central nervous system. Increased sympathetic tone may cause vasoconstriction of the pulmonary veins, which increases the pulmonary capillary wedge pressure. Increased […]
Pneumonia, BiPAP, secretions, and HFNC: New lessons from FLORALI
Introduction 0 Pneumonia is extremely common. Nonetheless, there is surprisingly little evidence about supporting pneumonia patients using bi-level positive airway pressure (BiPAP) or high-flow nasal cannula (HFNC). The recent FLORALI study offers new insight into this. This post will explore how BiPAP and HFNC compare for pneumonia patients, prior evidence, and the FLORALI study. 0 […]
NeuroEMCrit – Demystifying the EEG Report
EEGs are tougher than EKGs–but you can master the basics
EM Nerd-The Case of the Bridge to Nowhere
The use of mechanical cardiopulmonary resuscitation (mCPR) has been a polarizing topic almost from its inception. The idea, a simple one. Why not build a machine that is capable of doing perfect chest compressions? A simple, effective way to eliminate the inconsistencies common to manual chest compressions. And yet, despite building a number of devices […]
Immunosuppressive therapies in pulmonology & transplantation
CONTENTS Disclaimer – Still consult transplant medicine Mycophenolate Azathioprine Calcineurin inhibitors (tacrolimus, cyclosporine) Sirolimus Questions & discussion abbreviations used in the pulmonary section: 2 ABPA: Allergic bronchopulmonary aspergillosis 📖 AE-ILD: Acute exacerbation of ILD 📖 AEP: Acute eosinophilic pneumonia 📖 AFB: Acid Fast Bacilli AIP: Acute interstitial pneumonia (Hamman-Rich syndrome) 📖 ANA: Antinuclear antibody 📖 […]
Asbestosis, pneumoconiosis, and related disorders
CONTENTS Asbestos Asbestos interstitial lung disease (asbestosis) Benign asbestos pleural effusion (BAPE) ➡️ Pleural plaques Diffuse pleural thickening Mesothelioma Silicosis Coal workers pneumoconiosis Berylliosis Talcosis Intravenous talcosis Inhalational talcosis Silicone embolism syndrome Questions & discussion abbreviations used in the pulmonary section: 8 ABPA: Allergic bronchopulmonary aspergillosis 📖 AE-ILD: Acute exacerbation of ILD 📖 AEP: Acute […]
EMCrit 334 – CV-EMCrit – Concise HeartMate 3 LVAD Overview
A review on dealing with HeartMate 3 (most common LVAD you will see) Emergencies
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