SYSTEMS
- Cardiology
- Dermatology
- 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
- Philosophy of training in ICU
- Zentensivism
- 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
dermatology
- AGEP & DRESS
- Stevens Johnson Syndrome (SJS) / Toxic Epidermal Necrolysis (TEN)
endocrinology
Adrenal crisis
Glucose / Insulin
- Diabetic ketoacidosis (DKA)
- Hyperglycemic hyperosmolar state (HHS)
- Glycemic control in the ICU
- Hypoglycemia
Thyroid
- Thyroid tests & sick euthyroid
- 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)
Bleeding
- GI hemorrhage
- Prophylaxis against GI bleeding
Intestine
- Anti-emetics
- C. difficile
- Illeus & 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
- Hyperammonemia, severe
- Spontaneous bacterial peritonitis
Nutrition
- Overview: feeding the intubated patient
- Tube feed cheat sheet
- Refeeding syndrome
Pancreas
- Acute pancreatitis
- Hypertriglyceridemic 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
- Anticoagulant reversal
- DVT prophylaxis
- Parenteral anticoagulants (heparin, fondaparinux, argatroban, bivalirudin)
Coagulopathy & coags
- Coagulopathy in liver failure
- Disseminated intravascular coagulation (DIC)
- Coag labs & thromboelastography (TEG)
Malignant
- Immune-related adverse events from checkpoint inhibitors
- Leukemia
- Acute promyelocytic leukemia (APL)
- Blast crisis
- Neutropenic fever
- Tumor lysis syndrome
Thrombocytopenia
- Thrombocytopenia
- Thrombotic thrombocytopenic purpura (TTP)
- Catastrophic Antiphospholipid Syndrome (CAPS)
⇒ more heme/onc at PulmCrit
infectious diseases
General approach
- Allergy to beta-lactam antibiotics
- Antibiotic selection overview
- Approach to fever in ICU
- Neutropenic fever
- Procalcitonin
- Septic shock
Specific infections
- Biliary sepsis (ascending cholangitis & calculus cholecystitis)
- Candidiasis
- C. difficile
- COVID-19
- Endocarditis
- Epiglottitis
- Influenza
- Lemierre's disease
- Line infection
- Meningitis & encephalitis
- Necrotizing fasciitis
- Pneumonia
- Aspergillosis, invasive
- Blastomycosis
- Community-onset pneumonia
- Influenza
- Pneumocystis jiroveci pneumonia (PJP)
- Ventilator-associated 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
- Hypokalemia
- Hyperkalemia
- BRASH syndrome
- Calcium
- Magnesium
- Phosphorous
Hepatorenal syndrome
IV Fluids
- Volume status, maintenance fluids & fluid boluses
- Fluid selection & pH-guided resuscitation
- Deresuscitation: Dominating the diuresis
Rhabdomyolysis
Tumor lysis syndrome
⇒ more nephrology at PulmCrit
neurology
General
- Approaches to common problems
- Delirium
- Stupor & Coma
- Status epilepticus
- ICP elevation
- Brain death
- Traumatic Brain Injury
- Therapies
- Analgesia for the critically ill patient
- Procedural sedation
- Sedating the intubated patient
- Therapeutic paralysis
Autonomic disturbance / blood pressure
- Paroxysmal sympathetic hyperactivity
- PRES (posterior reversible encephalopathy syndrome)
Infectious / inflammatory
- Meningitis & encephalitis
- Anti-NMDA receptor encephalitis
Neuromuscular weakness
- Myasthenic crisis
- Guillain-Barre Syndrome (GBS)
Toxic / metabolic
- Alcohol withdrawal
- Wernicke's encephalopathy
- (More on toxicology 👇 below)
Vascular / hypoperfusion
- Anoxic brain injury neuroprognostication
- Cerebral sinus vein thrombosis
- Intraparenchymal hemorrhage
- Ischemic stroke
- Subarachnoid hemorrhage, aneurysmal
⇒ more neurology at PulmCrit
obstetrics
- Obstetric hemorrhage
- Peripartum cardiomyopathy
- Preeclampsia & HELLP syndrome
- Sepsis in pregnancy
pulmonology
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
- ABG/VBG
- Therapeutics
- Noninvasive respiratory support (CPAP, BiPAP, HFNC)
- Invasive mechanical ventilation
- Decision to intubate
- Airway Pressure Release Ventilation (APRV)
- Extubation
Airway disorders
Cardiovascular & pulmonary vascular
- Flash pulmonary edema
- 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
- Blastomycosis
- Community-onset pneumonia
- COVID-19
- Influenza
- Pneumocystis jiroveci pneumonia (PJP)
- Ventilator-associated pneumonia
Inflammatory disorders & ILD
- AEP
- ARDS & DPLD
- COP
- Diffuse alveolar hemorrhage & pulmonary vasculitis
- Vaping Associated Pulmonary Injury (VAPI)
Neuromuscular weakness & restrictive disorders
- Guillain-Barre Syndrome (GBS)
- Myasthenic crisis
- Obesity hypoventilation & ICU care of the morbidly obese patient
⇒ 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.
- Alcohol intoxication (EtOH)
- Alcoholic ketoacidosis
- Alcohols, toxic (ethylene glycol & methanol)
- Alcohol withdrawal
- 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