Question: a patient presents with AF, eventually leading to intubation. is this a primary cardiac problem, or is the AF secondary to an underlying disease? The answer is hiding on this ventilator screen! Answer: The key finding here is the volumetric capnography data at the bottom right of the ventilator screen showing a VCO2 to […]
COVID 19 ICU/stepdown management
CONTENTS: Management of COVID-19 patients admitted to stepdown or ICU Link to full chapter here (more complete – but longer). Preamble & caveats Initial tests to guide management Organ support Cardiovascular Respiratory Noninvasive respiratory support Invasive mechanical ventilation Infectious disease – antibiotics Renal Hematology Neurology Immunomodulation Steroid Tocilizumab Baricitinib Things that don’t work Remdesivir Convalescent […]
COVID 19 Complete Chapter
CONTENTS Basic biology Infection control Transmission Personal protective equipment (PPE) Diagnosis Signs & symptoms Labs Imaging CXR & CT scan Lung ultrasonography General approach to imaging Bronchoscopy Diagnostic approach for admitted patients Treatment: General protocols ED patients getting admitted to the hospital Inpatient management of hypoxemic, non-intubated patients Intubated patients Treatment: Specific anti-viral & immunosuppressive […]
Blood Pressures for Stroke Syndromes
Dueling pacemakers
A stable ICU patient had the following two EKGs obtained within minutes of each other. Can you guess what is going on? Answer: The EKG in sinus rhythm reveals a LAD occlusion status post reperfusion in the cath lab. There are some Q-waves and a wee bit of residual ST elevation. T-wave inversion reflects reperfusion. […]
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