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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

November 2, 2016 by Josh Farkas

SYSTEMS 

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

intro

(back to contents)


  • Overview:  Guide to supportive care in critical illness
  • About this book
  • Things to avoid in the ICU

cardiology

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Aortic dissection
Arrhythmia
  • Bradycardia
    • BRASH syndrome
  • 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

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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

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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)
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
  • Critical care nutrition
  • Gastroparesis
  • Refeeding syndrome
Pancreatitis
  • Acute pancreatitis
  • Hypertriglyceridemic pancreatitis
⇒ more gastroenterology at PulmCrit

heme/onc

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Anemia & PRBC transfusion
  • Anemia & hemoglobin transfusion targets
  • Massive Transfusion Protocol (MTP)
  • Sickle cell anemia – acute chest syndrome
Anticoagulation, therapeutic
  • Anticoagulant reversal
  • DVT prophylaxis
  • Parenteral anticoagulants (heparin, fondaparinux, argatroban, bivalirudin)
Coagulopathy
  • Coagulopathy in liver failure
  • Disseminated intravascular coagulation (DIC)
    • Purpura fulminans
  • Coagulation labs & thromboelastography (TEG)
Malignant
  • Acute promyelocytic leukemia (APL)
  • Immune-related adverse events from checkpoint inhibitors
  • Tumor lysis syndrome
Thrombocytopenia
  • Thrombocytopenia
  • Thrombotic thrombocytopenic purpura (TTP)
  • Catastrophic Antiphospholipid Syndrome (CAPS)
⇒ more heme/onc at PulmCrit

infectious diseases

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General approach
  • Allergy to beta-lactam antibiotics
  • Antimicrobial:
    • Antibiotics
    • Antifungal agents
  • Approach to fever in ICU
  • Procalcitonin
  • Septic shock
Specific infections
  • Biliary sepsis (ascending cholangitis & calculus cholecystitis)
  • Candidiasis
  • C. difficile
  • COVID-19
  • Endocarditis
  • Epiglottitis
  • Influenza
  • Line infection
  • Meningitis & encephalitis
  • Necrotizing fasciitis
  • Pneumonia
    • Aspergillosis, invasive
    • Community-onset pneumonia
    • 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)
⇒ more infectious diseases at PulmCrit

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
  • Respiratory alkalosis
AKI & oliguria
Contrast nephropathy, myth thereof
Electrolytes
  • Sodium
    • Hypernatremia
    • Hyponatremia
  • Potassium
    • Hypokalemia
    • Hyperkalemia
    • BRASH syndrome
  • Calcium
    • Hypocalcemia
    • Hypercalcemia
  • Magnesium
    • Hypomagnesemia
    • Hypermagnesemia
  • Phosphorous
    • Hypophosphatemia
    • Hyperphosphatemia
Hepatorenal syndrome
IV Fluids
  • Fluid selection & pH-guided resuscitation
  • Deresuscitation: Dominating the diuresis
Rhabdomyolysis
Tumor lysis syndrome
⇒ more nephrology at PulmCrit

neurology

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General
  • Approaches to common problems
    • Delirium
    • Stupor & Coma
    • Status epilepticus
    • ICP elevation
    • Brain death
  • Neurotherapeutics
    • Analgesia for the critically ill patient
    • Antiemetics
    • Sedating the intubated patient
Autonomic disturbance / blood pressure
  • Paroxysmal sympathetic hyperactivity
  • PRES (posterior reversible encephalopathy syndrome)
Infectious / inflammatory
  • Meningitis & encephalitis
Neuromuscular weakness
  • Myasthenic crisis
  • Guillain-Barre Syndrome (GBS)
Toxic / metabolic
  • Alcohol withdrawal
  • Wernicke encephalopathy
  • (More on toxicology 👇 below)
Vascular / hypoperfusion
  • Anoxic brain injury neuroprognostication
  • Cerebral venous thrombosis
  • Hemorrhage
    • Intracranial hemorrhage
    • Subarachnoid hemorrhage, aneurysmal
  • Ischemic stroke
⇒ more neurology at PulmCrit

obstetrics

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  • Preeclampsia & HELLP syndrome

pulmonology

(back to contents)


General
  • Approaches to common problems
    • ARDS & DPLD
    • Hemoptysis
  • 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
  • Therapeutics
    • Noninvasive respiratory support (CPAP, BiPAP, HFNC)
    • Invasive mechanical ventilation
      • Decision to intubate
      • Airway Pressure Release Ventilation (APRV)
      • Extubation
    • Inhaled pulmonary vasodilators
Airway disorders
  • Asthma
  • COPD exacerbation
  • Vocal cord dysfunction
Cardiovascular & pulmonary vascular
  • Flash pulmonary edema (SCAPE)
  • Pulmonary embolism
    • DVT prophylaxis
    • Diagnosis & treatment of DVT and low-risk PE
    • Submassive & massive PE
  • Pulmonary hypertension, chronic decompensated
  • Sickle cell acute chest syndrome
Infectious
  • Aspergillosis, invasive
  • 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
  • Guillain-Barre Syndrome (GBS)
  • Myasthenic crisis
⇒ more pulmonology at PulmCrit

rheumatology

(back to contents)


Allergy
  • Allergy to beta-lactam antibiotics
  • Anaphylaxis
  • Angioedema
Inflammatory
  • Catastrophic Antiphospholipid Syndrome (CAPS)
  • Hemophagocytic lymphohistiocytosis (HLH)
  • Pulmonary vasculitis
⇒ more rheumatology at PulmCrit

tox & temp

(back to contents)


Basic toxicology
  • Approach to the poisoned patient
  • Dysthermias:
    • Hyperthermia
    • Hypothermia
Common intoxications & withdrawals
  • Acetaminophen
  • Alcohol et al.
    • Alcohol intoxication (EtOH)
    • Alcohols, toxic (ethylene glycol & methanol)
    • Alcohol withdrawal
    • Wernicke encephalopathy
  • Antihistamines
  • Bupropion
  • Calcium channel blocker & beta-blocker
  • Carbon monoxide
  • Cyanide
  • Digoxin
  • Hypoglycemics (insulin, sulfonylurea)
  • Lithium
  • Local Anesthetic Systemic Toxicity (LAST)
  • Malignant hyperthermia
  • Metformin-associated lactic acidosis (MALA)
  • Methemoglobinemia
  • Neuroleptic Malignant Syndrome (NMS)
  • Opioid intoxication
  • Opioid withdrawal & buprenorphine
  • Propofol Infusion Syndrome
  • Salicylate
  • Serotonin Syndrome
  • Sympathomimetics
  • Tricyclics & Na-channel blockers
  • Valproic Acid
⇒ more toxicology at PulmCrit

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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