Clinical pearls on the exam and differential of coma patients
IBCC – Paroxysmal sympathetic hyperactivity
Paroxysmal sympathetic hyperactivity (previously known as sympathetic storming) is a pattern of recurrent episodic sympathetic activation which may occur after severe brain injury (most often traumatic or anoxic). Prompt recognition of this diagnosis may facilitate appropriate treatment, thereby stabilizing the patient and avoiding aggravation of the underlying brain injury. The IBCC chapter is located 👉 […]
IBCC – Autoimmune Encephalitis
Autoimmune encephalitis was nearly unknown a few decades ago, but currently it’s estimated that it may be as common as HSV encephalitis. Given that many forms respond well to treatment, prompt diagnosis is critical. The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on iTunes
EMCrit 299 – Bougie Masterclass with George Kovacs
All things Bougie…
IBCC – Elevated intracranial pressure (ICP)
ICP elevation is an important dimension of many neuroICU patients. Unfortunately, it remains unclear precisely who might benefit from ICP monitoring, or exactly what the optimal ICP targets should be. The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on iTunes
Logistics of Whole Bowel Irrigation (WBI) for Toxicologic Overdose
You are unauthorized to view this page. Username Password Remember Me Forgot Password
IBCC – Critical care nutrition
Critical care nutrition is a perpetually challenging topic, due to the difficulty in performing high-quality research on it. This chapter aims to describe reasonable practices, based largely on the 2019 ESPEN guidelines. The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on iTunes
IBCC – Cardiac glycoside poisoning (including digoxin)
Cardiac glycoside poisoning continues to be a relevent topic, due to both digoxin and plants containing cardiac glycosides. As with all things toxicologic, ongoing debate surrounds the precise dosing and indications for anti-digoxin antibody fragments. The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on iTunes
EMCrit 298 – Calcium in Exsanguinating Patients with Ricky Ditzel and Jeffrey Siegler
Something I have been preaching for a decade has finally gotten the attention and research it deserves. On this episode, I get two of the authors from the Lethal Diamond Paper to discuss hypocalcemia in the bleeding patient.
IBCC – Approach to the poisoned patient
Poisoning is one of the most common causes of ICU admission. The vast majority of these patients do fine, with minimal supportive therapy and observation. However, occasional patients will progress to organ failures and potentially death. This chapter explores how to approach these patients, with an eye towards identification and prompt treatment of the critically […]
IBCC – Thrombotic microangiopathies (TTP, HUS, et al.)
Thrombotic microangiopathy is a rapidly moving target, which has evolved considerably in just the past few years. Complementopathies (e.g., atypical hemolytic uremic syndrome) probably represent a largely unappreciated, yet critical, dimension of many diseases. Thrombotic thrombocytopenic purpura (TTP) remains an important hematologic emergency that must be promptly recognized. This chapter attempts to disentangle these entities, […]
EMCrit 297 – EVARs, TEVARs, and Endoleaks – Oh My! with Ani Aydin
EVAR complications can be deadly. Learn how they present and how to work them up.
IBCC – Opioid intoxication
The opioid epidemic has caused us all to become far more familiar with opioid intoxication than we ever wanted to be. However, some nuances still remain (e.g., management of methadone and loperamide intoxications). The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on iTunes
IBCC – Sodium channel blocker toxicity (including tricyclic antidepressants)
Blockade of the fast cardiac sodium channels is an important component of cardiotoxicity due to many intoxicants. Historically the most common cause of sodium channel blockade has been tricyclic antidepressant poisoning, but a wide variety of xenobiotics can affect the sodium channels. Fortunately, close attention to the EKG may be sufficient to reach an accurate […]
IBCC – Anticholinergic intoxication
Anticholinergic intoxication has been a moving target recently, with a resurgence in the popularity of physostigmine. The thoughtful administration of physostigmine has much to offer these patients, but it must be provided within the context of a systematic approach. The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on […]
- « Previous Page
- 1
- …
- 13
- 14
- 15
- 16
- 17
- …
- 92
- Next Page »