This chapter gives an overview of how to provide high-quality supportive care to the sickest patients. It summarizes about a dozen chapters within the IBCC. This is intended as a quick guide for folks who don’t work full-time in an ICU (e.g. residents rotating through the unit).
Hyperkalemia is bread and butter critical care medicine. However, the therapeutic approach has changed substantially within the past 5 years. Myths about kayexalate and normal saline have been exposed, allowing more effective therapies to take their place.
Delirium occurs in about half of critically ill patients. Some fairly simple measures may reduce the risk of delirium. When it occurs, delirium is a diagnostic challenge because occasionally it can be a sign of undiagnosed underlying illness. Treatment is challenging, with little evidence to support most of the standard therapies.
by Andrew Stolbach I. Depolarization Medicine should center on the patient, so I start this story with an anonymous person dropping dead.1 Perhaps this person first heard about the medication from a friend who raved about his new allergy pill. Then, the day of a routine doctor’s appointment, our patient saw an advertisement for […]