PHYScalc: PAPi

Pulmonary Artery Pulsatility Index (PAPi) PA systolic: 35 mm Hg mm Hg PA diastolic: 15 mm Hg mm Hg Right atrial pressure (CVP): 8 mm Hg mm Hg PAPi: 2.50 What PAPi measures: ratio of pulmonary artery pulse pressure to right atrial pressure (RV pulsatility vs congestion). Rule-of-thumb interpretation: Normal / healthy RV: > 1.5–2.0 RV dysfunction: < […]

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PROGNOSIS calc: VV ECMO

A calculator put together, for interest only, of various ECMO prognosis calculators. They might be wrong. Check everything. VV ECMO Prognostic Scores (RESP • PRESERVE • PRESET • ECMOnet • Roch) Patient / Demographics Age (years) BMI (kg/m²) Height/Weight mode Show Height (cm) Weight (kg) If Height and Weight are provided, BMI auto-updates. Medical History […]

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PHYScalc: Blood Gas Calculator

First try at a combined blood gas and Stewart method calculator. I’m not entirely happy with it, but refinements will come soon. Stewart Method Acid–Base Calculator Strong Ion Difference (SID), Effective Strong Ion Difference (SIDe), Strong Ion Gap (SIG), Partial pressure of carbon dioxide (PaCO₂), Total concentration of weak acids (ATOT). pH PaCO₂ kPa mmHg […]

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PHYScalc: PF Ratio

P/F Ratio (PaO₂/FiO₂) – CC-OrangeCard PaO₂/FiO₂ (P/F) Ratio Calculator PaO₂ mmHg = 10.7 kPa PaO₂ (alt) kPa = 80 mmHg FiO₂ % = 0.40 P/F (mmHg) mmHg P/F (kPa) kPa Severity Normal oxygenation Normal: > 300 mmHg (> 40 kPa) Mild ARDS: 200–300 mmHg (26.7–40 kPa) Moderate ARDS: 100–200 mmHg (13.3–26.7 kPa) Severe ARDS: <= […]

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MRI changes in Haemodialysis and Manganism

Well what do you know? Seems there might be some association between haemodialysis patients getting high serum manganese levels and imaging changes in the brain on T1-weighted MRI A Preliminary Study Revealing a New Association in Patients Undergoing Maintenance Hemodialysis: Manganism Symptoms and T1 Hyperintense Changes in the Basal Ganglia | American Journal of Neuroradiology

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MEDcalc: Salbutamol

SalbutamolInfusion Calculator (ADULT) Make with 0.9% saline OR 5% dextrose Standard 5 mg in 500 mL[10 µg/mL] Reduced 5 mg in 100 mL[50 µg/mL] Dose: 5 µg/min OPTIONAL loading bolus 250 µg / 1–2 minutes: 25 mL Infusion rate: 30 mL/h Please note: paediatric guidance dosage varies wildly compared with adult dosing, with doses up to 200mcg/min recommended by many prominent paediatric services around the world. This is obviously 10x the usual recommended adult […]

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