SYSTEMS
- Cardiology
- Endocrinology
- Gastroenterology
- Hematology & Oncology
- Infectious diseases
- Nephrology
- Neurology
- Obstetrics
- Pulmonology
- Rheumatology
- Toxicology & Temperature
intro
- Overview: Guide to supportive care in critical illness
- About this book
- Things to avoid in the ICU
cardiology
Aortic dissection
Arrhythmia
- Bradycardia
- Narrow-complex tachycardia
- Approach to supraventricular tachycardia
- Multifocal atrial tachycardia (MAT)
- Atrial fibrillation & flutter
- Wide-complex tachycardia
- Approach to wide-complex tachycardia & VT
- Monomorphic VT/VF storm
- Torsade de pointes
- AVRT & accessory pathways
Endocarditis
LV failure
- SCAPE (a.k.a. flash pulmonary edema)
- Cardiogenic shock & severe heart failure
- LV outflow tract obstruction (LVOTO)
- Takotsubo syndrome
Hypertensive emergency
MI
- Troponin elevation in non-cardiac critical illness
- Type-1 MI (plaque rupture)
- Post-MI complications
- Right ventricular MI (RVMI)
Shock, undifferentiated
RV failure
- Decompensated chronic pulmonary hypertension
- Pulmonary embolism (PE)
- Right ventricular MI (RVMI)
Pericardial tamponade
Post-arrest
- Post-cardiac arrest management
- Neurologic prognostication
Vasopressors
⇒ more cardiology at PulmCrit
endocrinology
Adrenal crisis
Glucose / Insulin
- Diabetic ketoacidosis (DKA)
- Hyperglycemic Hyperosmolar State (HHS)
- Glycemic control in the ICU
- Hypoglycemia
Thyroid
- Hyper: Thyroid Storm
- Hypo: Decompensated Hypothyroidism
⇒ more endocrinology at PulmCrit
gastroenterology
Abdominal compartment syndrome
Biliary
- Acalculous cholecystitis
- Community-acquired biliary sepsis (ascending cholangitis & calculus cholecystitis)
GI hemorrhage
Intestine
- Nausea & antiemetics
- C. difficile
- Motility disorders
Ischemia
- Acute mesenteric ischemia
- Ischemic colitis
Liver
- Acute Liver Failure (ALF)
- Acute on Chronic Liver Failure (ACLF)
- Alcoholic hepatitis
- Coagulopathy in liver failure
- Hepatic encephalopathy
- Hepatorenal syndrome
- Spontaneous bacterial peritonitis
Nutrition
Pancreatitis
⇒ more gastroenterology at PulmCrit
heme/onc
Anemia & PRBC transfusion
- Anemia & hemoglobin transfusion targets
- Massive Transfusion Protocol (MTP)
- Sickle cell anemia – acute chest syndrome
Anticoagulation, therapeutic
Coagulopathy
- Coagulation studies (conventional & TEG)
- Coagulopathy in liver failure
- Disseminated intravascular coagulation (DIC)
Malignant
- Acute promyelocytic leukemia (APL)
- Immune-related adverse events from checkpoint inhibitors
- Tumor lysis syndrome
Thrombocytopenia
- Thrombocytopenia
- Catastrophic Antiphospholipid Syndrome (CAPS)
- Thrombotic microangiopathies (including TTP and HUS)
⇒ more heme/onc at PulmCrit
infectious diseases
General approach
Specific infections
- Biliary sepsis (ascending cholangitis & calculus cholecystitis)
- Candidiasis
- C. difficile
- COVID-19
- Endocarditis
- Epiglottitis
- Influenza
- Line infection
- Meningitis & encephalitis
- Necrotizing fasciitis
- Pneumonia
- Spontaneous bacterial peritonitis
- Tickborne illnesses
- Toxic Shock Syndrome
- Urologic
⇒ more infectious diseases at PulmCrit
nephrology
Acid-base disorders
- Diagnosis: approach to pH analysis
- Metabolic acidosis
- Metabolic alkalosis
- Respiratory acidosis
- Respiratory alkalosis
AKI & oliguria
Contrast nephropathy, myth thereof
Electrolytes
- Sodium
- Potassium
- Calcium
- Magnesium
- Phosphorous
Hepatorenal syndrome
IV Fluids
Rhabdomyolysis
Tumor lysis syndrome
⇒ more nephrology at PulmCrit
neurology
General
- Diagnostics
- Neuroimaging
- Approaches to common problems
- Therapeutics
Anoxic brain injury
- Management of the post-cardiac arrest patient
- Neuroprognostication after anoxic brain injury
Infectious / inflammatory
Neuromuscular weakness
Toxic / metabolic
- Alcohol withdrawal
- Wernicke encephalopathy
- (More on toxicology 👇 below)
Traumatic
- Traumatic Brain Injury (TBI)
- Paroxysmal sympathetic hyperactivity
Vascular / hypoperfusion
- Acute Ischemic Stroke (AIS)
- Cerebral venous thrombosis
- Hemorrhage
- Intracranial hemorrhage
- Subarachnoid hemorrhage
- Vascular tone abnormality
⇒ more neurology at PulmCrit
obstetrics
pulmonology
General
- Diagnostics
- Diagnosis of acid-base disorders
- End-tidal CO2
- Approaches to common problems
- ARDS & DPLD
- Hemoptysis
- Therapeutics
Airway disorders
Cardiovascular & pulmonary vascular
- Flash pulmonary edema (SCAPE)
- Pulmonary embolism
- Diagnosis & treatment of DVT and low-risk PE
- Submassive & massive PE
- Pulmonary hypertension, chronic decompensated
- Sickle cell acute chest syndrome
Infectious
- Aspergillosis, invasive
- Candidia pneumonia
- Community-onset pneumonia
- COVID-19
- Influenza
- Pneumocystis jiroveci pneumonia (PJP)
- Ventilator-associated pneumonia (VAP)
Inflammatory disorders & ILD
- Acute Eosinophilic Pneumonia (AEP)
- ARDS & Diffuse Parenchymal Lung Disease (DPLD)
- Diffuse alveolar hemorrhage & pulmonary vasculitis
- Vaping Associated Pulmonary Injury (VAPI)
Neuromuscular weakness & restrictive disorders
⇒ more pulmonology at PulmCrit
rheumatology
Allergy
Inflammatory
- Catastrophic Antiphospholipid Syndrome (CAPS)
- Hemophagocytic lymphohistiocytosis (HLH)
- Pulmonary vasculitis
⇒ more rheumatology at PulmCrit
tox & temp
Basic toxicology
- Approach to the poisoned patient
- Dysthermias:
Common intoxications & withdrawals
- Acetaminophen
- Alcohol et al.
- Anticholinergics
- 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
- Salicylate
- Serotonin Syndrome
- Sodium channel blockers
- Sympathomimetics
- Tricyclic antidepressants
- Valproic Acid