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Essential Learnings regarding Emergency and Critical Care Medicine

14/04/2025

Respiratory failure.πŸ«πŸ‘‡

ECPR- Basic Concepts 04/03/2025

𝔼ℂℙℝ (𝔼𝕩π•₯𝕣𝕒 ℂ𝕠𝕣𝕑𝕠𝕣𝕖𝕒𝕝 ℂℙℝ)

ECPR- Basic Concepts Extra-Corporeal Cardiopulmonary Resuscitation (ECPR) Introduction: What is ECPR? Extracorporeal Cardiopulmonary Resuscitation (ECPR) is an a...

10/01/2025

Avibactam→ for AmpC and KPC

08/01/2025

𝔽𝕖𝕒π•₯𝕦𝕣𝕖𝕀 π•Šπ•¦π•˜π•˜π•–π•€π•₯π•šπ•§π•– 𝕠𝕗 𝔸𝕠𝕣π•₯π•šπ•” π•€π•Ÿπ•›π•¦π•£π•ͺ π• π•Ÿ ℂ𝕙𝕖𝕀π•₯ 𝕏-ℝ𝕒π•ͺ
1. Abnormal/ Indistinct Aortic K**b/ Aortic Contour
2. Obscured aorto-pulmonary window
3. Widened Para-spinal Stripe and Para Tracheal Stripe
4. Deviation of Trachea or NGT to Right
5. Mediatinum: Chest Ratio more than 25%
6. Widened Mediastinum
(>8 cm when SUPINE and > 6cm when UPRIGHT)
7. Depression of left main bronchus
The left mainstem bronchus may be depressed more than 40 degrees from the horizontal
8. Large left Hemothorax
9. Left Apical Pleural Cap
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25/10/2024


Thorasic Trauma
Cardiac Box: Danger Zone for penetrating Mediastinal injury.
Contains, Great vessels (veins and arteries) Airways (trachea and bronchuses) and the Heart. Parts of liver, pancreas and spleen are also present in this region.

Anatomical Boundary
Anterior Cardiac Box
Superiorly: Clavicle
Laterally: Ni**le Linr
Inferiorly: Costal Margins

Contrary few textbooks follow this anatomical boundary: midclavicular lines laterally, the clavicles superiorly, and the xiphoid process inferiorly.

Posterior Cardiac Box
Superior – Top of scapula
Lateral - Medial to scapula
Inferior - Above costal margins

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Bhubaneswar
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