TOPICS
- cardiology
- endocrinology
- gastroenterology
- hematology/oncology
- infectious diseases
- nephrology
- neurology
- obstetrics
- pulmonology
- rheumatology
- toxicology & temperature
introduction
- About this book
- The karma of training in the ICU
- 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
- Massive PE: Resuscitation
- Decompensated chronic pulmonary hypertension
- Right ventricular MI (RVMI)
Pericardial tamponade
Post-arrest
- Post-cardiac arrest management
- Neurologic prognostication
Vasopressors
endocrinology
Adrenal crisis
Glucose / Insulin
- Diabetic ketoacidosis (DKA)
- Hyperglycemic hyperosmolar state (HHS)
- Glycemic control in the ICU
- Hypoglycemia
Thyroid
- Thyroid tests & sick euthyroid
- Myxedema coma
- Thyroid Storm
gastroenterology
Abdominal compartment syndrome
Biliary
- Acalculous cholecystitis
- Community-acquired biliary sepsis (ascending cholangitis & calculus cholecystitis)
Bleeding
- GI hemorrhage
- Prophylaxis against GI bleeding
Intestine
- Clostridium difficile
- Colonic pseudoobstruction (Oglivie's syndrome)
- Illeus
Ischemia
- Acute mesenteric ischemia
- Ischemic colitis
Liver failure
- Acute hepatic failure
- Coagulopathy in liver failure
- Decompensated cirrhosis
- Hepatic encephalopathy
- Hepatorenal syndrome
- Spontaneous bacterial peritonitis
Nutrition
- Overview: feeding the intubated patient
- Tube feed cheat sheet
- Refeeding syndrome
Pancreas
- Acute pancreatitis
- Hypertriglyceridemic pancreatitis
hematology/oncology
Anemia & PRBC transfusion
- Anemia & hemoglobin transfusion targets
- Massive Transfusion Protocol (MTP)
Anticoagulation, therapeutic
- Anticoagulant reversal
- DVT prophylaxis
- Heparin, LMWH, fondaparinux
Coagulopathy & coags
- Coagulopathy in liver failure
- Disseminated intravascular coagulation (DIC)
- Coag labs & thromboelastography (TEG)
Malignant
- Acute promyelocytic leukemia (APL)
- Tumor lysis syndrome
Thrombocytopenia
- Thrombocytopenia
- Thrombotic thrombocytopenic purpura (TTP)
- Catastrophic Antiphospholipid Syndrome
infectious diseases
General approach
- Antibiotic selection overview
- Approach to fever in ICU
- Procalcitonin
- Septic shock
- Penicillin allergy
Specific infections
- Biliary sepsis (ascending cholangitis & calculus cholecystitis)
- Candidiasis
- Clostridium difficile
- Endocarditis
- Epiglottitis
- Lemierre's disease
- Line infection
- Meningitis & encephalitis
- Necrotizing fasciitis
- Pneumonia
- Community-onset pneumonia
- Ventilator-associated pneumonia
- Spontaneous bacterial peritonitis
- Tickborne illnesses
- Toxic Shock Syndrome
- Urologic
- Community-acquired urosepsis
- Catheter-associated UTI (CAUTI)
nephrology
Acid-base disorders
- Diagnosis
- HAGMA (high anion-gap metabolic acidosis)
- NAGMA (non-anion-gap metabolic acidosis)
- Metabolic alkalosis
- Respiratory acidosis
- Respiratory alkalosis
AKI & oliguria
Electrolytes
- Sodium
- Hypernatremia
- Hyponatremia
- Potassium
- Hypokalemia
- Hyperkalemia
- BRASH syndrome
- Calcium
- Hypocalcemia
- Hypercalcemia
- Magnesium
- Hypomagnesemia
- Hypermagnesemia
- Phosphorous
- Hypophosphatemia
- Hyperphosphatemia
Hepatorenal syndrome
IV Fluids
- Volume status, maintenance fluids & fluid boluses
- Selection of which fluid to give
- Removing fluid: dominating diuresis
Rhabdomyolysis
Tumor lysis syndrome
neurology
Therapeutic interventions
- Analgesia for the critically ill patient
- Procedural sedation
- Sedating the intubated patient
- Therapeutic paralysis
Approaches to common problems
- Delirium
- Stupor & Coma
- Brain death
Specific disorders
- Alcohol withdrawal
- Anoxic brain injury neuroprognostication
- ICP elevation
- Intraparenchymal hemorrhage
- Ischemic stroke
- Meningitis & encephalitis
- Paroxysmal sympathetic hyperactivity
- PRES (posterior reversible encephalopathy syndrome)
- Status epilepticus
obstetrics
Preeclampsia
pulmonology
Diagnostics
- ABG/VBG
- When to get ABG, VBG, or etCO2
- End-tidal CO2
- Diagnosis of acid-base disorders
- Diagnostic approach to respiratory failure
- Lung ultrasonography
Specific disorders
- ARDS
- Asthma
- COPD exacerbation
- Diffuse alveolar hemorrhage & pulmonary vasculitis
- Flash pulmonary edema
- Hemoptysis
- Pneumonia
- Community-onset pneumonia
- Ventilator-associated pneumonia
- Pulmonary embolism
- DVT prophylaxis
- Diagnosis & tx of DVT and small PE
- Massive PE: Resuscitation
- Submassive PE: Lytic strategies
- Pulmonary hypertension, chronic decompensated
- Vocal cord dysfunction
Therapeutics
- Noninvasive respiratory support
- Selection of BiPAP vs. HFNC
- High-flow nasal cannula
- Invasive mechanical ventilation
- Decision to intubate
- Extubation
rheumatology
- Anaphylaxis
- Angioedema
- Penicillin allergy
- Pulmonary vasculitis
- Hemophagocytic lymphohistiocytosis (HLH)
toxicology & temperature
Basic toxicology
- Approach to the poisoned patient
- Lipid rescue
Common intoxications
- Acetaminophen
- Alcohol intoxication (EtOH)
- Alcohols, toxic (ethylene glycol & methanol)
- Alcohol withdrawal
- Antihistamines
- Calcium channel blocker & beta-blocker
- Carbon monoxide
- Cyanide
- Digoxin
- Hypoglycemics (insulin, sulfonylurea)
- Lithium
- Local Anesthetic Systemic Toxicity (LAST)
- Metformin-associated lactic acidosis (MALA)
- Methemoglobinemia
- Opioid intoxication
- Salicylate
- Sympathomimetics
- Tricyclics & Na-channel blockers
Temperature abnormality
- Hyperthermia
- Malignant hyperthermia
- Neuroleptic Malignant Syndrome
- Serotonin Syndrome
- Hypothermia