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IBCC – Interpreting coagulation labs
We obtain coagulation labs on nearly every critically ill patient. However, our understanding of these labs remains relatively superficial. Meanwhile, the addition of thromboelastography (TEG) has rendered matters even more complex, by providing an alternative strategy for monitoring coagulation. This chapter attempts to sift through a rational approach to coagulation labs, but much work remains […]
IBCC – Alcoholic hepatitis
We are seeing an increased volume of alcoholic liver disease due to the COVID pandemic. Previously admissions to ICU for alcoholic hepatitis were rare, but these are now occurring with regularity. The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on iTunes
IBCC – Stupor & Coma
Stupor and coma can be a challenging presentation, because it has a broad differential filled with very severe diseases. An organized approach is essential. One core feature of that approach is the coma neurologic examination, which remains central to the evaluation even in the era of abundant CT and MRI scanning. The IBCC chapter is […]
PulmCrit Rant – Intermediate DVT prophylaxis in COVID: We need for better pants
COVID will eventually lead to many improvements in our approach to critical illness. I’ve been hoping that one of these would be an improved understanding of venous thromboembolism (VTE) prophylaxis, but perhaps that was overly optimistic. We provide VTE prophylaxis to nearly every patient in the ICU. Consequently, even tiny changes in our VTE prophylaxis […]
IBCC – Acute Eosinophilic Pneumonia (AEP)
Acute Eosinophilic Pneumonia is rare, but it definitely happens. It typically causes relatively rapid-onset ARDS, frequently leading to mechanical ventilation. Prompt recognition is critical, because AEP responds beautifully tosteroid therapy. The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on iTunes
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