Imperturbability and Rethinking Resilience in Medicine by @ResusPadawan
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Should we err towards errors of commission or omission?
Part 3 of enhancing human performance
from a listener
Mike Lauria on optimizing flow
Invictus – William Ernest Henley These are difficult and challenging times. The current situation with the pandemic is unprecedented. The impact it has imposed in terms of economic cost, human suffering, and strain on our healthcare teams around the globe is unbelievable. Furthermore, while there is a glimmer of hope on the horizon, the […]
Part II of Lauria’s discussion of flow and resuscitation
What would Google do?
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CONTENTS Rapid Reference 🚀 Neurological examination Global function & mental status Level of consciousness Motor responses to pain Breathing patterns Aphasia Cranial nerves CN2,3 – Pupillary abnormalities Approach to anisocoria Unilateral pupillary abnormalities Horner’s syndrome Bilateral pupillary abnormalities CN3,4,6 – Extraocular movements CN3-Oculomotor nerve CN6-Abducens nerve Testing of horizontal gaze abnormalities Specific abnormalities of horizontal […]
Here are the answers to todays discussion questions on ABG & VBG. https://twitter.com/PulmCrit/status/1169246054073720832?s=20 (1) Answer = 4. The ABG provides no diagnostic information. An extremely common (incorrect) belief about ABGs is that they provide diagnostic information. Available evidence indicates that this is generally not the case. The only situations in which ABGs provide specific diagnostic […]
CONTENTS Rapid Reference 🚀 Groundwork: When noninvasive support is less useful Goals & assessment BiPAP & CPAP Interface Contraindications Diseases which respond very well Sedation to tolerate the mask Setting BiPAP in various situations Ventilators used to provide BiPAP or CPAP High flow nasal cannula (HFNC) Indications How to set HFNC McGuyver’s HFNC Selecting which […]
CONTENTS Rapid Reference 🚀 Physiology Hydrocephalus Different types of edema Focal versus global ICP elevation Causes of ICP elevation Diagnosis Clinical manifestations Ultrasound evaluation for ICP elevation Neuroimaging Single measurement of ICP with lumbar puncture ICP monitoring Indications for continuous ICP monitoring Techniques for continuous ICP monitoring ICP value interpretation CPP value interpretation ICP waveform […]
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 […]
CONTENTS Rapid Reference 🚀 Diagnosis of ARDS Definition of ARDS Cardiogenic pulmonary edema vs. ARDS Why is the patient in ARDS? Common causes of ARDS Evaluating the cause of ARDS ARDS pathophysiology: Intrapulmonary shunting Treatment: Basics Treating the cause of ARDS Steroid Conservative fluid strategy Treatment: Non-intubated patient High-flow nasal cannula & CPAP/BiPAP Awake proning […]