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Search Results for: aprv
BRASH syndrome
CONTENTS Rapid Reference 🚀 Pathophysiology Epidemiology Clinical presentation Diagnosis & differential diagnosis Evaluation of the underlying cause Treatment overview Procedures & vascular access Volume management Bradycardia management Hyperkalemia management Advanced reversal agents for CCB/BBl Podcast Questions & discussion Pitfalls if hypovolemic, provide volume resuscitation: Bicarb <22 mM use isotonic bicarbonate. Bicarb >22 mM use lactated Ringers or […]
Hyperkalemia
CONTENTS Rapid Reference: treatment for severe hyperkalemia 🚀 Diagnosis of hyperkalemia Severity & risk stratification Causes of hyperkalemia Treatment: Moderate hyperkalemia Treatment of severe hyperkalemia Temporizing measures Volume expansion with isotonic bicarbonate Potassium elimination Sodium zirconium cyclosilicate Podcast Questions & discussion Pitfalls volume resuscitation if hypovolemic Bicarb <22 mM ➡️ use isotonic bicarbonate. 💉 Bicarb […]
Respiratory manifestations of systemic disorders
CONTENTS Gastroenterology Inflammatory bowel disease Cirrhosis Hepatopulmonary syndrome Hepatic hydrothorax ➡️ Spontaneous bacterial pleuritis ➡️ Portopulmonary hypertension ➡️ Pancreas-related pleural effusions ➡️ Hematology TRALI (transfusion-related acute lung injury) Complications after hematopoietic stem cell transplantation Sickle cell disease Acute chest crisis ➡️ Pulmonary hypertension ➡️ Leukostasis due to leukemia ➡️ Questions & discussion abbreviations used in […]
Bronchiolitis
CONTENTS Constrictive bronchiolitis: Bronchiolitis obliterans Epidemiology Clinical presentation Radiology Pulmonary function tests Bronchoscopy Diagnostic criteria Treatment DIPNECH (diffuse idiopathic pulmonary neuroendocrine cell hyperplasia) Cellular bronchiolitis: Aspiration bronchiolitis Diffuse panbronchiolitis Infectious bronchiolitis ➡️ RBILD (Respiratory bronchiolitis interstitial lung disease) ➡️ Follicular bronchiolitis ➡️ Questions & discussion abbreviations used in the pulmonary section: 2 ABPA: Allergic bronchopulmonary aspergillosis […]
EMCrit 146 – Who Needs an Acute PCI with Steve Smith (Part I)
Finally in one place, all of the STEMI equivalents with Steve Smith
Asthma
CONTENTS Symptoms & asthma assessment Asthma phenotypes T2-high (IL4, IL5, IL13, Eos) Allergic phenotype, aka atopic asthma Aspirin-exacerbated respiratory disease (AERD) T2-low Non-eosinophilic asthma, aka intrinsic asthma Obesity-related asthma Diagnostic tests Physical examination Laboratory studies Exhaled nitric oxide Peak Flow meter Pulmonary function tests Radiology Diagnosis Diagnosis of asthma Asthma versus COPD? ➡️ Diagnostic considerations […]
Ventilator Associated Pneumonia (VAP)
CONTENTS Rapid Reference 🚀 Preamble: The riddle of VAP Stepwise approach to VAP Step #1 – Does the patient have probable VAP? Step #2 – Pulling the trigger on antibiotics & cultures Step #3 – Management of suspected VAP #3a) Cultures & repeat imaging #3b) Antibiotics for probable VAP Step #4 – Data review & […]
Hepatic encephalopathy in chronic liver disease
CONTENTS Rapid Reference 🚀 Introduction Clinical features 1) Manifestations of hepatic encephalopathy 2) Triggers of hepatic encephalopathy Diagnostic approach Differential diagnosis Laboratory testing Ammonia EEG Neuroimaging Treatment – overall strategy Cathartic Polyethylene glycol Lactulose Rifaximin Manage triggers & coexisting problems Avoid sedatives like the plague Nutritional support & gut access Treatments of desperation Podcast Questions […]
Acute Disseminated Intravascular Coagulation (DIC)
CONTENTS Rapid Reference 🚀 Pathophysiology Symptoms Lab studies Causes Differential diagnosis Diagnostic criteria Sepsis-Induced Coagulopathy (SIC) Management Podcast Questions & discussion Pitfalls sepsis induced coagulopathy (SIC): ISTH DIC score: general concept of DIC Normally, clots form locally at sites of vascular damage. These clots are subsequently degraded after tissue damage is repaired. The processes of […]
Thrombocytopenia
CONTENTS Rapid Reference 🚀 Overview & definition Differentials Overall classification of thrombocytopenia in the ICU Clinical clues & specific situations Investigation of thrombocytopenia Platelet transfusion Additional comments on specific causes of thrombocytopenia: Drug-induced immune thrombocytopenia (D-ITP) Transfusion related thrombocytopenia Heparin-Induced Thrombocytopenia Podcast Questions & discussion Pitfalls approach to thrombocytopenia in critical illness ✅ investigations (more) […]
Chronic obstructive pulmonary disease (COPD)
CONTENTS Definitions Epidemiology & risk factors Symptoms Clinical examination Laboratory evaluation PFTs in COPD Radiology: Hyperinflation on radiography Centrilobular emphysema Paraseptal emphysema Panlobular (panacinar) emphysema Chronic bronchitis Bronchiectasis-COPD overlap syndrome (BCOS) ➡️ Diagnosis of COPD Differential diagnosis Differentiation of asthma vs. COPD Disorders causing emphysema (without tobacco exposure) Management Integrated approach to COPD therapies (Inhalation […]
Approach to thoracic imaging in acute illness (radiograph, CT scan)
CONTENTS Preamble: A slightly different approach Frontal chest radiograph algorithm CT algorithm (1) Lines & tubes (2) Right heart & pulmonary embolism Contrast reflux into the IVC Pericardial effusion Right atrial dilation Right ventricular dilation Right ventricular wall thickness Pulmonary artery dilation Evaluation for PE (3) Left heart Left atrial dilation Left ventricular dilation Left […]
IBCC – Neuroprognostication after cardiac arrest
CONTENTS Rapid Reference 🚀 Introduction Early brain death is (still) death Prognostic value of historical information Confounding factors & hypothermia Timing & serial evaluation Prognostic tests Neurological examination EEG Myoclonus SSEPs (Somatosensory evoked potentials) CT scan MRI Neuron-specific enolase Multimodal prognostication Podcast Questions & discussion Pitfalls PDF of this chapter (or create customized PDF) timing of tests […]
Neuroprognostication after cardiac arrest
CONTENTS Rapid Reference 🚀 Introduction Early brain death is (still) death Prognostic value of historical information Confounding factors & hypothermia Timing & serial evaluation Prognostic tests Neurological examination EEG Myoclonus SSEPs (Somatosensory evoked potentials) CT scan MRI Neuron-specific enolase Multimodal prognostication Podcast Questions & discussion Pitfalls PDF of this chapter (or create customized PDF) timing of tests […]