CONTENTS Rapid Reference 🚀 Diagnosis & workup Key pathophysiologic concepts for management of COPD Basic treatments Noninvasive ventilatory strategies BiPAP is first line Difficulty tolerating BiPAP HFNC Monitoring on HFNC/BiPAP Indications for delayed intubation How long should BiPAP/HFNC be continued? Intubation and ventilator management Podcast Questions & discussion Pitfalls confirm diagnosis Review chest X-ray. Further […]
Search Results for: septic shock
PulmCrit- Ten dubious beliefs in neurocritical care
Recently Geert Meyfroidt published an article in Intensive Care Medicine describing ten false beliefs in neurocritical care shown here: It’s a great article, but I think they could have been more aggressive about challenging neurocritical care dogmas (1). In response, here is a list of ten dubious beliefs that goes farther to challenge the status quo. […]
Hyperthermia & heat stroke
CONTENTS Rapid Reference 🚀 Definition & diagnosis of hyperthermia Differential diagnosis Evaluation Treatment Sedation & Shivering tx Intubation if necessary Temperature control overview (1) Internal cooling: IV fluid (2) Surface cooling (3) Respiratory cooling Management of complications Podcast Questions & discussion Pitfalls what is hyperthermia? Fever is temperature elevation due to activity of the hypothalamus, […]
Acute Kidney Injury
CONTENTS Rapid Reference: Approach to AKI 🚀 Definition & significance of AKI Causes of AKI Nephrotoxins Evaluation of the cause of AKI Tests not to order Tests to evaluate the cause of AKI Approach to oliguria Management of AKI Dose-adjust renally cleared medications Hemodynamic optimization Treatment of acidosis Dialysis Phosphate binder Related Uremic encephalopathy Dialysis […]
CAR-T cell therapy recipient in the ICU
CONTENTS Initial approach to CAR-T recipient in ICU CRS (cytokine release syndrome) Epidemiology Clinical manifestations Laboratory findings Differential diagnosis Staging Management Combined CRS & ICANS HLH (hemophagocytic lymphohistiocytosis) DIC (disseminated intravascular coagulation) ICANS (immune effector cell-associated neurotoxicity syndrome) Epidemiology Clinical manifestations Radiology Laboratory findings CSF EEG Diagnosis & differential diagnosis Staging Management Podcast Questions & […]
The IVC for Fluid Assessment Roundup
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Acute Promyelocytic Leukemia (APL)
CONTENTS Rapid Reference 🚀 Primer Basic physiology of APL Why APL is important in critical care Diagnosis Epidemiology Clinical presentation Diagnostic studies Treatment Early initiation of ATRA Coagulopathy of APL Differentiation syndrome Sepsis Complications from arsenic trioxide Pseudotumor cerebri Podcast Questions & discussion Pitfalls Acute Promyelocytic Leukemia (APL) management ✅ basic workup & monitoring 📖 […]
Approach to Stupor & Coma
CONTENTS Front matter: Most clinically relevant: Rapid Reference – Clinical approach 🚀 Causes of stupor & coma Definitions Distinctive states that mimic coma: Locked-in syndrome Abulia and akinetic mutism Hypokinetic catatonia Functional unresponsiveness Malingering Management – some additional comments Airway management Related Coma syndromes (section of Exam chapter) Podcast Questions & discussion Pitfalls diagnostic approach […]
Blood gas measurements in DKA: Are we searching for a unicorn?
Routinely obtaining an ABG or VBG is widely recommended, for example in both American and British guidelines. Why? Is this helping our patients, or is it something that we do out of a sense of habit or obligation?
Endocarditis
CONTENTS Rapid Reference 🚀 Diagnosis When to suspect endocarditis Lab workup Septic pulmonary emboli Echocardiography (TTE vs TEE) Diagnostic strategies & criteria European Society of Cardiology criteria Manifestations include: Metastatic infection Neurologic complications Septic embolic encephalitis Antibiotics Empiric therapy Definitive therapy Methicillin-sensitive Staph. 📖 Methicillin-resistant Staph. 📖 Enterococcus. 📖 Streptococcus pneumoniae. 📖 Beta-hemolytic Streptococci. 📖 […]
COVID 19 Complete Chapter
CONTENTS Basic biology Infection control Transmission Personal protective equipment (PPE) Diagnosis Signs & symptoms Labs Imaging CXR & CT scan Lung ultrasonography General approach to imaging Bronchoscopy Diagnostic approach for admitted patients Treatment: General protocols ED patients getting admitted to the hospital Inpatient management of hypoxemic, non-intubated patients Intubated patients Treatment: Specific anti-viral & immunosuppressive […]
IBCC chapter & cast – Catastrophic antiphospholipid syndrome (CAPS)
Catastrophic antiphospholipid syndrome (CAPS) is a truly rare cause of multi-organ failure. It is usually not considered as a diagnostic possibility, leading it to be mis-diagnosed as septic or cardiogenic shock. Awareness of this condition and various red flags suggesting its presence might facilitate earlier diagnosis and therapy. The IBCC chapter is located here. The […]
adrenal insufficiency revealed by NLR
Case puzzler: A patient was admitted to ICU due to profound hypotension of unknown cause. What *two* clues are contained in the CBC which reveal the diagnosis? Answer In isolation, this data wouldn’t be very exciting. However, there are two things which are strange about this CBC in the context of a shocked patient. Clue […]
Pneumomediastinum
CONTENTS Pathophysiology & key concepts Causes Clinical presentation Radiographic features Evaluation of the etiology (1) Evaluation for esophageal perforation (2) Evaluation for large airway laceration Management Questions & discussion abbreviations used in the pulmonary section: 3 ABPA: Allergic bronchopulmonary aspergillosis 📖 AE-ILD: Acute exacerbation of ILD 📖 AEP: Acute eosinophilic pneumonia 📖 AFB: Acid Fast […]
IBNCC index
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z drug interaction checker IBNCC […]
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