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Internet Book of Critical Care (IBCC)

Online Medical Education on Emergency Department (ED) Critical Care, Trauma, and Resuscitation

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You are here: Home / IBCC / Table of Contents


Table of Contents

April 7, 2025 by Josh Farkas

SYSTEMS

  • Cardiology
  • Endocrinology
  • Gastroenterology
  • Hematology & Oncology
  • Infectious diseases
  • Nephrology
  • Neurology
  • Obstetrics
  • Pharmacology
  • Pulmonology
  • Rheumatology
  • Toxicology & Temperature

intro

(back to contents)


  • Overview: Guide to supportive care in critical illness
  • Medication reconciliation in the ICU
  • About this book
    • How to create your own IBCC smartphone app 📲

cardiology

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General

  • Approaches to problems
    • Cardiac arrest
    • Cardio-obstetrics
    • Chest pain
    • ECG
    • Hypertensive emergency
    • Pre-op risk stratification
    • Post-op cardiac surgical pts
    • Syncope
  • Pharmacology
    • Antiarrhythmics
    • Antihypertensives
    • Diuretics
    • Vasopressors
  • Devices
    • ECMO
    • IABP (intra-aortic balloon pump)
    • Impella
    • RHC (right heart catheterization)

Arrhythmia

  • Bradycardia
    • BRASH syndrome
  • Supraventricular arrhythmias:
    • Atrial fibrillation & flutter
    • Supraventricular tachycardias
  • Ventricular arrhythmias
    • Monomorphic VT storm
    • Torsade de pointes
    • Ventricular arrhythmias s/p MI
  • Antiarrhythmic medications

Coronary disease

  • MI (type I)
  • Post-MI complications
  • Troponin elevation in non-cardiac critical illness

Myocardial & pericardial disease

  • Myocarditis
  • Pericardial tamponade
  • Pericarditis
  • Septic cardiomyopathy
  • Takotsubo syndrome

Shock & heart failure

  • Shock
  • Specific forms of shock/HF:
    • LV failure
    • RV failure
    • SCAPE (Sympathetic Crashing Acute Pulmonary Edema)

Valvular & aortic disease

  • Valvular heart emergencies
  • Aortic dissection
  • Endocarditis
  • LV outflow tract obstruction (LVOTO)

endocrinology

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Adrenal crisis

Glucose & insulin

  • Diabetic ketoacidosis (DKA)
  • Hyperglycemic Hyperosmolar State (HHS)
  • Glycemic control in the ICU
  • Hypoglycemia

Thyroid

  • ⬆️ Thyroid Storm
  • ⬇️ Decompensated Hypothyroidism

gastroenterology

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Abdominal compartment syndrome

Biliary

  • Acalculous cholecystitis
  • Community-acquired biliary sepsis (ascending cholangitis & calculus cholecystitis)

GI hemorrhage

Intestine

  • Nausea & antiemetics
  • C. difficile
  • Motility disorders
    • Gastroparesis
    • Ileus
    • Colonic pseudoobstruction (Oglivie's syndrome)

Liver

  • Acute Liver Failure (ALF)
  • Acute on Chronic Liver Failure (ACLF)
  • Alcoholic hepatitis
  • Coagulopathy in liver failure
  • Hepatic encephalopathy:
    • In chronic liver failure
    • In acute liver failure
  • Hepatorenal syndrome (HRS-AKI)
  • Spontaneous bacterial peritonitis (SBP)

Nutrition

  • Critical care nutrition
  • Gastroparesis
  • Refeeding syndrome

Pancreatitis


heme/onc

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Anemia & transfusion

  • Anemia & hemoglobin transfusion targets
  • Massive Transfusion Protocol (MTP)
  • Sickle cell anemia – acute chest syndrome

Anticoagulation

  • Anticoagulant reversal
  • DVT prophylaxis
  • Parenteral anticoagulants (heparin, fondaparinux, argatroban, bivalirudin)

Coagulopathy

  • Coagulation studies (conventional & TEG)
  • Coagulopathy in liver failure
  • Disseminated intravascular coagulation (DIC)
    • Purpura fulminans

Malignancy

  • Acute promyelocytic leukemia (APL)
  • CAR-T cell recipient
  • Immune-related adverse events from checkpoint inhibitors
  • Tumor lysis syndrome

Thrombocytopenia

  • Thrombocytopenia
  • Catastrophic Antiphospholipid Syndrome (CAPS)
  • Hemophagocytic lymphohistiocytosis (HLH)
  • Thrombotic microangiopathies (including TTP and HUS)

infectious diseases

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General approach

  • Allergy to beta-lactam antibiotics
  • Antimicrobial:
    • Antibiotics
    • Antifungal agents
  • Approach to fever in the ICU
  • Septic shock

Specific infections

  • Biliary sepsis (ascending cholangitis & calculus cholecystitis)
  • Candidiasis
  • C. difficile
  • Endocarditis
  • Epiglottitis
  • Influenza
  • Line infection
  • Measles
  • Meningitis & encephalitis
  • Necrotizing fasciitis
  • Pneumonia
    • Aspergillosis, invasive
    • Candidia pneumonia
    • Community-Acquired Pneumonia (CAP)
    • Influenza
    • Pneumocystis jiroveci pneumonia (PJP)
    • Ventilator-associated pneumonia (VAP)
  • Spontaneous bacterial peritonitis
  • Tickborne illnesses
  • Toxic Shock Syndrome
  • Urologic
    • Community-acquired urosepsis
    • Catheter-associated UTI (CAUTI)

nephrology

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Acid-base disorders

  • Diagnosis: approach to pH analysis
  • Metabolic acidosis
    • AGMA (Anion-Gap Metabolic Acidosis)
    • NAGMA (Non-Anion-Gap Metabolic Acidosis)
  • Metabolic alkalosis
  • Respiratory acidosis (hypercapnia)
  • Respiratory alkalosis (hypocapnia)

Acute kidney injury

  • AKI & oliguria
  • GFR estimation
  • Hepatorenal syndrome
  • Rhabdomyolysis
  • Tumor lysis syndrome
  • Contrast nephropathy myth

Electrolytes.

  • Sodium
    • Hypernatremia
    • Hyponatremia
  • Potassium
    • Hypokalemia
    • Hyperkalemia
    • BRASH syndrome
  • Calcium
    • Hypocalcemia
    • Hypercalcemia
  • Magnesium
    • Hypomagnesemia
    • Hypermagnesemia
  • Phosphorous
    • Hypophosphatemia
    • Hyperphosphatemia
  • Renal physiology

Fluids & diuretics

  • Fluid selection & pH-guided resuscitation
  • Deresuscitation: Dominating the diuresis

neurology

(back to contents)


General

  • Approaches to problems:
    • Delirium
    • Stupor & Coma
    • ICP elevation
    • Brain death
    • Neuro emergencies in pregnancy
  • Diagnostics
    • EEG
    • Neuro exam & lesion localization
    • Neuroimaging
    • Neuro-ultrasonography
  • Therapeutics
    • Analgesia and sedation
    • Antiemetics

Anoxic brain injury

  • Management of the post-cardiac arrest patient
  • Neuroprognostication after anoxic brain injury

Effects on other organ systems

  • Central (neurogenic) fever
  • Takotsubo (stress) cardiomyopathy
  • Neurogenic pulmonary edema

Infectious diseases

  • Approach to CNS infection
  • Sites of infection
    • Meningitis/encephalitis
    • Brain abscess
    • Spinal Epidural Abscess (SEA)
  • Specific pathogens
    • Viruses
    • Neurological complications of COVID
    • Fungi
    • Unusual bacteria & mycobacteria
    • Parasites & prions

Inflammatory

  • Autoimmune encephalitis
  • Acute demyelinating disorders

Movement disorders

  • Movement disorders
  • Baclofen withdrawal & toxicity
  • Catatonia
  • Serotonin Syndrome
  • Malignant hyperthermia
  • Neuroleptic Malignant Syndrome

Neuromuscular weakness

  • Neuromuscular disorders & generalized weakness
  • Guillain-Barre Syndrome (GBS)
  • Myasthenic crisis
  • Rhabdomyolysis

Neurosurgery

  • External Ventricular Drain (EVD)
  • Post-craniectomy management & complications

Oncological

  • Neuro-oncology emergencies
  • ICANS (CAR-T cell toxicity)
  • Leptomeningeal carcinomatosis

Seizures

  • Convulsive status epilepticus
  • EEG & Ictal-Interictal Continuum (IIC)
  • Nonconvulsive status epilepticus (NCSE)

Spinal Cord

  • Spinal cord disorders
  • Spinal Epidural Abscess (SEA)
  • Traumatic Spinal Cord Injury (SCI)

Toxic / metabolic

  • Alcohol withdrawal
  • Wernicke encephalopathy
  • (More on toxicology 👇 below)

Traumatic

  • Traumatic Brain Injury (TBI)
  • Paroxysmal sympathetic hyperactivity (PSH)
  • Spinal Cord Injury (SCI)

Vascular

  • Occlusion
    • Acute Ischemic Stroke (AIS)
    • Cerebral Venous Thrombosis (CVT)
    • Cervical artery dissection (carotid & vertebral)
  • Hemorrhage
    • Intracranial hemorrhage
    • Subarachnoid hemorrhage (SAH)
  • Vascular tone abnormality
    • PRES (Posterior Reversible Encephalopathy Syndrome)
    • RCVS (Reversible Cerebral Vasoconstriction Syndrome)

Appendix

  • Index of the IBNCC
  • About the IBNCC

obstetrics

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  • Cardiopulmonary disease in pregnancy
  • Neurological emergencies in pregnancy
  • Preeclampsia & HELLP syndrome
  • Thrombotic microangiopathy in pregnancy

pharmacology

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General

  • Pharmacokinetics
  • GFR estimation

Cardiology

  • Antiarrhythmics
  • Antihypertensives
  • Digoxin
  • Vasopresors & inotropes

Endocrinology

  • Insulin
  • Steroid dosing & selection

Gastroenterology

  • Antiemetics
  • SUP (stress ulcer prophylaxis)

Hematology

  • Anticoagulation
    • Anticoagulation reversal & procoagulants
    • DVT prophylaxis
    • Parenteral anticoagulants (heparin, fondaparinux, argatroban, bivalirudin)
  • IV iron

Infectious diseases

  • Antibiotics
  • Antifungal agents

Nephrology

  • Diuretics
  • IV fluids

Neurology

  • Analgesia & sedation
  • Antipsychotics
  • Antiseizure medications
  • Opioid use disorder
  • Paralytics

Pulmonology

  • Immunosuppression
  • Smoking cessation & nicotine withdrawal

pulmonology

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General 🫁

  • Approaches to common problems
    • Approach to pulmonary infection
    • ARDS
    • CO2 abnormality: Hypercapnia and Hypocapnia
    • Eosinophilic lung disease
    • Hemoptysis and DAH (diffuse alveolar hemorrhage)
    • SCAPE (Sympathetic Crashing Acute Pulmonary Edema)
  • Diagnostics
    • ABG, VBG, and pulse oximetry
    • Capnography and end-tidal CO2
    • Diagnosis of acid-base disorders
    • Pulmonary function tests (PFTs)
    • Other diagnostics & exam signs
  • Radiology
    • Approach to thoracic imaging
    • Atelectasis
    • Cavitary lesions
    • Consolidation
    • Cystic lung disease
    • Distribution of abnormalities
    • GGO (ground glass opacification)
    • Lymphadenopathy
    • Nodular patterns
    • Reticular patterns
  • Therapeutics
    • ECMO
    • Extubation
    • Immunosuppression
    • Inhaled pulmonary vasodilators
    • Lung transplantation
    • Noninvasive respiratory support (CPAP, BiPAP, HFNC)
    • Paralytics
    • Smoking cessation

Airway disorders 🫁

  • Asthma
    • Asthma: Ambulatory & ward
    • Asthma in ICU
  • Bronchiectasis
  • Bronchiolitis
  • COPD
    • COPD: Ambulatory & ward
    • COPD in ICU
  • Cystic Fibrosis exacerbation
  • Upper airway disease
    • Vocal cord dysfunction
    • Aspiration

Exposures

  • Aspiration
  • Drug-induced lung disease
  • EVALI (E-cigarette or vaping associated lung injury)
  • Fat emboli syndrome
  • Pneumoconiosis

Infectious 🫁

  • Clinical infectious syndromes
    • Approach to pulmonary infection
    • CAP (community acquired pneumonia)
    • HAP (hospital acquired pneumonia)
    • VAP (ventilator associated pneumonia)
    • Lung abscess
  • Bacteria
    • Typical pneumonias
    • Atypical pneumonias
    • Nocardia
    • Actinomycosis
  • Mycobacteria
    • Tuberculosis
    • Non-tuberculous mycobacteria
  • Fungi
    • Pneumocystis
    • Cryptococcus
    • Endemic mycoses
      • Blastomycosis
      • Histoplasmosis
      • Coccidioidomycosis
    • Mold
      • Aspergillosis
      • Mucormycosis
    • Candida
  • Viral
    • Influenza
    • Measles
    • Other viruses

Interstitial lung diseases 🫁

  • Acute exacerbation of ILD
  • Amyloidosis
  • CT-ILD (connective tissue-related ILD)
  • DAD (diffuse alveolar damage)
  • DIP (desquamative interstitial pneumonitis)
  • Eosinophilic lung disease
  • GLILD (granulomatous & lymphocytic ILD)
  • HP (hypersensitivity pneumonitis)
  • IgG4-related lung disease
  • IPF (idiopathic pulmonary fibrosis)
  • LIP (lymphocytic interstitial pneumonia)
  • Lipoid pneumonia
  • NSIP (nonspecific interstitial pneumonia)
  • OP (organizing pneumonia)
  • PAP (pulmonary alveolar proteinosis)
  • PAM (pulmonary alveolar microlithiasis)
  • PLCH (pulmonary Langerhans cell histiocytosis)
  • PPFE (pleuroparenchymal fibroelastosis)
  • RBILD (respiratory bronchiolitis ILD)
  • Sarcoidosis

Malignant 🫁

  • Lung cancer
  • Lymphoproliferative disorders
  • Pulmonary complications from malignancy

Neuromuscular weakness 🫁

  • Neuromuscular disorders
  • Guillain-Barre Syndrome (GBS)
  • Myasthenic crisis

Pleural 🫁

  • Pleural effusion
  • Air:
    • Pneumothorax & bronchopleural fistula
    • Pneumomediastinum

Vascular 🫁

  • Pulmonary embolism
    • Diagnosis of PE & tx of low-risk PE
    • Submassive/massive PE
  • Pulmonary hypertension
    • Pulmonary hypertension
    • RV failure
  • Pulmonary vasculitis & Diffuse alveolar hemorrhage
  • Pulmonary AVMs & other vascular abnormalities
  • Sickle cell acute chest syndrome
  • Superior vena cava syndrome (SVCs)

Other 🫁

  • Pulmonary manifestations of systemic diseases
  • Cardiopulmonary disease in pregnancy
  • Sleep-disordered breathing
  • Calcification & metastatic bone formation

rheumatology

(back to contents)


Allergy

  • Allergy to beta-lactam antibiotics
  • Anaphylaxis
  • Angioedema

Inflammatory

  • Catastrophic Antiphospholipid Syndrome (CAPS)
  • Hemophagocytic lymphohistiocytosis (HLH)
  • Pulmonary vasculitis

tox & temp

(back to contents)


Basic toxicology

  • Approach to the poisoned patient
  • Dysthermias:
    • Hyperthermia
    • Hypothermia

Common intoxications & withdrawals

  • Acetaminophen
  • Alcohol et al.
    • Alcohols, toxic (ethylene glycol & methanol)
    • Alcohol withdrawal
    • Wernicke encephalopathy
  • Anticholinergics
  • Baclofen withdrawal & toxicity
  • Beta-blockers
  • Bupropion
  • Calcium channel blockers
  • Carbon monoxide
  • Digoxin
  • Lithium
  • Local Anesthetic Systemic Toxicity (LAST)
  • Malignant hyperthermia
  • Metformin-associated lactic acidosis (MALA)
  • Methemoglobinemia
  • Neuroleptic Malignant Syndrome (NMS)
  • Opioid
    • Opioid intoxication
    • Opioid withdrawal & buprenorphine
  • Salicylate
  • Serotonin Syndrome
  • Sodium channel blockers
  • Sympathomimetics
  • Tricyclic antidepressants
  • Valproic Acid

The Internet Book of Critical Care is an online textbook written by Josh Farkas (@PulmCrit), an associate professor of Pulmonary and Critical Care Medicine at the University of Vermont.


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We are the EMCrit Project, a team of independent medical bloggers and podcasters joined together by our common love of cutting-edge care, iconoclastic ramblings, and FOAM.

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