CONTENTS General approach to neuroworsening after cranial surgery General postoperative management considerations Hemodynamics Seizure prophylaxis Analgesia & sedation Nausea and vomiting Fever Sodium abnormalities DVT prophylaxis General complications Intracranial hemorrhage Cerebral infarction Seizure Cerebral edema CSF leak Hydrocephalus Infectious complications Tension pneumocephalus Selected procedures Decompressive craniectomy Posterior fossa surgery Pituitary resection Carotid endarterectomy or stenting […]
Search Results for: septic shock
Severe influenza
CONTENTS Rapid Reference 🚀 Clinical presentation Radiology Bacterial coinfection Diagnostic panel Treatment Resuscitation Antibiotics Anti-viral therapy Respiratory support Adjunctive therapy Virus-associated hemophagocytic syndrome (VAHS) Approach to treatment failure Extrapulmonary complications Virology of influenza Podcast Questions & Discussions Pitfalls severe influenza checklist ✅ diagnostic tests (more) Nares PCR for MRSA. Blood cultures. Sputum gram stain & […]
Flipping the Podcast: Approach to shocky patient in AF w/ RVR
Flipping the podcast? I’m going on Tyler Christifulli’s FOAMFrat podcast soon to talk about the approach to the shocky patient in atrial fibrillation with rapid ventricular rate (AF with RVR). Tough topic. I’ve been trying to iron out some general algorithms for this, but they aren’t perfect. So I thought it might be fun to […]
Pleural effusion
CONTENTS approach to pleural effusion of unclear etiology Initial trifecta: History CXR, POCUS, & review of prior radiology Blood tests More advanced testing: CT scan Thoracentesis differential diagnosis All causes of pleural effusion Transudates Exudates pleural radiology POCUS Chest radiograph Subpulmonic effusion Pseudotumor Specific radiologic findings: Chronic pleural effusion Rapidly growing effusion Pleural plus pericardial […]
Contrast Nephropathy, myth thereof
CONTENTS Venous injection of contrast (e.g. for CT scan) The birth of the contrast nephropathy myth Current lack of evidence regarding contrast nephropathy Weighing the risks vs. benefits of using contrast (Renalism) The attention given to contrast nephropathy is insane Intra-arterial contrast (e.g. cardiac catheterization) Algorithm Podcast Questions & discussion Pitfalls The concept of contrast […]
Pulmonary & cardiac complications of pregnancy
CONTENTS GENERAL APPROACH History & symptoms Dyspnea Chest pain Cough Hemoptysis ➡️ Palpitations Peripheral edema Physical examination Laboratory tests Common laboratory tests ABG interpretation Radiology Pharmacologic issues in pregnancy Antibiotic ➡️ Anticoagulation & antiplatelets Cardiac medications Steroid Uterotonic medications SPECIFIC DISEASE STATES Airway Asthma Cardiac Acute coronary syndrome (ACS) Aortic dissection Arrhythmias SVT (supraventricular tachycardia) […]
EMCrit 321 – CV-EMCrit – Acute Valve Disasters – Critical Aortic & Mitral Regurgitation and Bonus: VSDs with Trina Augustin
Valve Disasters Part 1 – Regurg…
PulmCrit- TEG for cirrhotic coagulopathy: Time for clinical implementation?
Introduction Traditional coagulation studies (especially the INR) fail miserably in cirrhosis. Thromboelastography (TEG) is a superior approach for understanding the global balance of pro-coagulants versus anti-coagulants in these patients. This isn’t anything particularly new – for example, it was explored in this post from 2015 (if you’re not familiar with this concept already, it’s explained […]
Eosinophilic lung diseases
CONTENTS Eosinophilic lung disease Approach to eosinophilic lung disease Understanding blood eosinophil count Acute critical illness Chronic systemic steroid Asthma or COPD Causes of eosinophilia Atopic Medications Infection Neoplastic & paraneoplastic Bronchoalveolar lavage eosinophilia IgE level Specific diseases DRESS syndrome AEP (acute eosinophilic pneumonia) CEP (chronic eosinophilic pneumonia) ABPA (allergic bronchopulmonary aspergillosis) EGPA (eosinophilic granulomatosis […]
Ventricular arrhythmias
CONTENTS approach to wide-complex monomorphic tachycardia Diagnostic approach to wide complex tachycardia [1] Consider pretest probability for VT [2] Compare to old ECG if available [3] Initiation of wide complex tachycardia [4] Signs of potential VT mimic [5] Evidence of AV dissociation? [6] Morphology in Leads II & aVR Morphology rules [7a] RBBB-type [7b] LBBB-type […]
EMCrit 367 – Panel: 4 Quadrant Hemodynamic Ultrasound Integration, IVC Ultrasound and Much More!
a ton of hemodynamic stuff…
Fluid selection using pH-guided resuscitation
0 PART 1: Fluid selection for resuscitation of hypovolemic, hyperkalemic renal failure 0 Introduction with a case 0 An elderly man on an ACE inhibitor and NSAIDs presents to the emergency department after a few days of severe norovirus gastroenteritis with a creatinine of 5 mg/dL, a bicarbonate of 15 mEq/L, and a potassium of […]
EMCrit 37 – Lactate in Sepsis
When an ED starts providing advanced care for severe sepsis, lactate testing is an absolute requirement. Lactate use brings up a lot of questions, especially if it is not commonly ordered in your department. In this podcast, I discuss all of the lactate questions that have come up in the course of the NYC Sepsis Collaborative.
EMCrit 324 – Rural Resuscitation – Foundational Stabilization [Primer]
Foundational Stabilization
EMCrit 160 – Sepsis smaccDOWN
An all-star panel of world sepsis experts discuss the controversial areas
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