EEGs are tougher than EKGs–but you can master the basics
Search Results for: COVID-19
Thoracic Radiology – Distribution of parenchymal abnormalities
CONTENTS Peripheral vs. central Peripheral Peripheral consolidation ➡️ Central Peribronchovascular Upper vs. lower Upper lung predominant Midlung predominant Lower lung predominant Migratory infiltrates Distribution of bronchiectasis ➡️ Questions & discussion abbreviations used in the pulmonary section: AE-ILD: Acute exacerbation of ILD 📖 AIP: Acute interstitial pneumonia (Hamman-Rich syndrome) 📖 ANA: Antinuclear antibody 📖 ANCA: Antineutrophil […]
ABG, VBG, and pulse oximetry
CONTENTS Assessment of oxygenation: Advantages of pulse oximetry over ABG Situations where ABG is needed to assess oxygenation: Poor arterial waveform Dyshemoglobinemia P/F ratio A-a gradient Patients with dark skin Other causes of inaccurate pulse oximetry Assessment of ventilation: VBG to assess pH and ventilation end tidal CO2 (etCO2) Additional topics related to pulse oximetry: […]
HumanFact0rz – The Future is Simulated: Breaking the Shackles of Bad Clinical Design by Chris Hicks
Your space is your destiny…
Organizing pneumonia (OP)
CONTENTS Basics Epidemiology & causes of organizing pneumonia Presentation Imaging findings Consolidation Nodule or mass Ground-glass opacities Perilobular opacities Pertinent negatives Laboratory studies Invasive diagnostics Differential diagnosis Management Questions & discussion Organizing pneumonia (OP) is a pathological form of lung response to various injuries. It involves the formation of organized plugs of fibrous tissue within […]
EMCrit 314 – ShadowBoxing Case 1 – In the end, it’s always…
Our first shadowboxing episode…
EMCrit 322 – Shadowboxing Case 2 – Frack the EJ
The 2nd of the shadowboxing cases…
Analgesia and sedation for the critically ill patient
CONTENTS Spectrum of medications available: Pure analgesics Acetaminophen Ketamine, pain-dose ➡️ (Lidocaine) (NSAIDs) Analgosedatives (analgesia > sedation) Opioids Opioid PCA Avoiding opioid infusions Tizanidine Gabapentinoids Sedalgesics (sedation > analgesia) Dexmedetomidine, Clonidine Ketamine, high-dose infusion ➡️ Pure sedatives Propofol ➡️ Guanfacine Phenobarbital ➡️ Melatonin (Benzodiazepines) (Hydroxyzine) Antipsychotics / anti-agitation Butyrophenones (haloperidol & droperidol) ➡️ Olanzapine ➡️ Quetiapine […]
Approach to pulmonary infection
CONTENTS tests & approaches Approach to pulmonary infections Infectious disease history 12 organisms to consider Selected radiological associations Noninvasive infectious evaluation Bronchoscopy: tests to consider Antibiotic selection Animal exposures Selected diagnostic tests: Beta-D-glucan Galactomannan Atypical lymphocytosis specific immunocompromising disorders HIV Kaposi sarcoma (KS) Pulmonary hypertension due to HIV ➡️ IRIS (immune reconstitution inflammatory syndrome) Transplantation […]
Sympathomimetic intoxication
CONTENTS Overview Clinical presentation Evaluation Management Serotonergic medications to avoid Agitation Seizures Hyperthermia Hypertension Chest pain & acute coronary syndrome Arrhythmia Atrial fibrillation Monomorphic ventricular tachycardia QT prolongation & torsade de pointes Hepatic failure Respiratory complications Rhabdomyolysis Hyponatremia Podcast Questions & discussion Pitfalls common sympathomimetic intoxications: Cocaine. Methamphetamine: Illicit “crystal meth.” Medicinally prescribed methamphetamine, used […]
Viral pneumonia (non-COVID/influenza)
CONTENTS General properties of viral pneumonias Herpesviruses ⍺-herpesviruses HSV VZV β-herpesviruses CMV Paramyxoviruses RSV (respiratory syncytial virus) Parainfluenza Metapneumovirus Adenovirus Rhinovirus Hantavirus 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 […]
Cystic Lung Diseases
CONTENTS Definitions of cystic & cavitary lung lesions Approach to diffuse/multiple lung cysts Clinical features Radiologic features List of causes of pulmonary cysts Specific cystic lung diseases: PLCH (Pulmonary Langerhans Cell Histiocytosis) LAM (Lymphangioleimyomatosis) Tuberous sclerosis BHD (Birt-Hogg-Dube syndrome) LCDD (Light chain deposition disease) CPAM (Congenital pulmonary airway malformation) Pneumatocele Incidental cyst(s) Questions & discussion […]
Pneumothorax and bronchopleural fistula (BPF)
CONTENTS Definitions & classifications Symptoms Signs Radiology: POCUS for diagnosis and monitoring Chest radiograph Signs of pneumothorax Size determination CT scan Causes of pneumothorax Management of various situations: Primary spontaneous pneumothorax Secondary spontaneous pneumothorax Indications for pleurodesis Management of persistent air leak Traumatic pneumothorax (including iatrogenic) Tension pneumothorax Oxygen to encourage nitrogen reabsorption? Pigtail versus […]
Severe community-acquired pneumonia
CONTENTS Rapid Reference 🚀 Definition of severe CAP Diagnosis: Pneumonia diagnosis Differential diagnosis Post-diagnosis evaluation: Laboratory studies Imaging Lobar pneumonia Bronchopneumonia Interstitial pneumonia Necrotizing pneumonia (cavitation) Nodular pneumonia Pleural effusion Pneumothorax Chest wall invasion Septic pulmonary emboli ➡️ Bronchoscopy Triage: who needs ICU? Treatment Antibiotic selection Resuscitation Respiratory support Steroid Effusion management Treatment failure Duration […]
E-cigarette or vaping associated lung injury (EVALI)
CONTENTS Rapid reference 🚀 Basics Epidemiology Clinical presentation Radiology Laboratory testing Bronchoscopy Diagnostic approach Treatment Prognosis Podcast Questions & discussion Pitfalls This section describes an approach to a patient with probable EVALI who doesn’t require intubation. The approach to an intubated patient would be similar, but with a lower threshold to pursue bronchoscopy. Please note […]
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