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 & […]
Search Results for: acid base
Carbon monoxide poisoning
CONTENTS Diagnosis Epidemiology Symptoms & Presentation Tests that may provide clues Specific testing for carbon monoxide Neuroimaging Cognitive schema for diagnosis? Treatment Physiologic basis of therapy Risk stratification ?? Mild CO intoxication Severe CO intoxication Hyperbaric oxygen? Isocapneic hyperventilation? Podcast Questions & discussion Pitfalls epidemiology: tends to occur in specific situations Burning of any fuel […]
Enhancing Human Performance in Resuscitation Part 3 – Performance-Enhancing Psychological Skills
Part 3 of enhancing human performance
PulmCrit- Sedation update: IV olanzapine & combo vs. monotherapy
The potential role for IV olanzapine was examined in a post last year. The following conclusions were reached: IV olanzapine appears to be safe. IV olanzapine has equal potency compared to IV droperidol and about twice the potency of IV haloperidol. Olanzapine doesn’t affect QT interval or cause torsade de pointes. Two articles were just […]
Management of COVID-19 patients admitted to stepdown or ICU
CONTENTS Rapid Reference 🚀 Initial tests to guide management Chest CT findings Organ support Cardiovascular Respiratory Noninvasive respiratory support Invasive mechanical ventilation Infectious disease – antibiotics Renal Hematology Neurology Immunomodulation Steroid Tocilizumab Baricitinib Tofacitinib Things that don’t work Remdesivir Convalescent plasma Questions & Discussion References checklist for COVID admission to ICU/stepdown ✅ Review medication list […]
Pneumonia, BiPAP, secretions, and HFNC: New lessons from FLORALI
Introduction 0 Pneumonia is extremely common. Nonetheless, there is surprisingly little evidence about supporting pneumonia patients using bi-level positive airway pressure (BiPAP) or high-flow nasal cannula (HFNC). The recent FLORALI study offers new insight into this. This post will explore how BiPAP and HFNC compare for pneumonia patients, prior evidence, and the FLORALI study. 0 […]
Approach to beta-lactam allergy in critical care
CONTENTS Rapid Reference 🚀 Getting started Types of drug reaction Allergy history How allergies cause harm Basic science of beta-lactam allergy Techniques for allergy management Skin testing Graded challenge Desensitization General approach to beta-lactam allergy in critical care Groups of antibiotics with cross-allergy: Aminopenicillins & select G1-G2 cephalosporins Cefazolin Nafcillin Piperacillin-tazobactam Cefepime & most G3 […]
Bronchiectasis
CONTENTS Basics of bronchiectasis Definition Symptoms Radiologic findings Basic findings Radiologic types of bronchiectasis Clues regarding etiology Mucus impaction of bronchi (MIB) Pulmonary function tests Diagnosis Causes Evaluation for etiology Ambulatory management of chronic bronchiectasis Bronchiectasis exacerbation (non-CF) Diagnosis & evaluation Management Hemoptysis in non-CF bronchiectasis Related topics: Primary ciliary dyskinesia (PCD) Bronchiectasis and COPD […]
The Case of the False Dichotomy
Often in the interpretation of medical literature we are forced into false dichotomies. Compelled to choose between two hypotheses, neither of which are representative of the data presented. Such is the case with a recent trial published in Intensive Care Medicine in which Guitton et al1 examine the efficacy of apneic oxygenation during RSI in critically […]
PulmCrit: The ketamine-tolerant patient
The ketamine-tolerant patient presents a quandary to clinicians who aren’t familiar with this phenomenon. The first time I encountered this, I was baffled and aborted the procedure after giving 200 mg ketamine. Eventually I realized that the drug isn’t “failing” to work, but rather we are failing to administer a sufficiently high dose.
Large airway disorders (trachea and central bronchi)
CONTENTS Guide to the differential diagnosis: Bronchoscopic findings CT scan findings Flow-volume loops ➡️ Specific disorders Bilateral vocal fold paralysis Stenosis Laryngeal stenosis Tracheal stenosis Tracheobronchomalacia (TBM) Congenital tracheobronchomegaly (Mounier-Kuhn syndrome) Tracheobronchopathia osteochondroplastica (TPO) Tracheobronchial amyloidosis ➡️ Infectious: Respiratory papillomatosis Tracheobronchial aspergillosis ➡️ Broncholithiasis due to granulomatous mediastinitis ➡️ Inflammatory disorders: Sarcoidosis ➡️ GPA (granulomatosis […]
EMCrit 253 – Kovacs Kata to Optimize a Failing Laryngoscopy Attempt
dedicated to my friend, George Kovacs
Hospital-Acquired Pneumonia (HAP)
CONTENTS Basics Epidemiology & risk factors Stepwise general approach to HAP: (1) Initial consideration for the possibility of HAP (2) Consider CT scan (3) Diagnosis & treatment of probable HAP (4) Data review over 24-72 hours (5) Ongoing management of HAP Other aspects of HAP management: Approach to treatment failure Bronchoscopy in HAP Questions & […]
PulmCrit – Magnesium infusions for atrial fibrillation & torsade
. Introduction: Perpetual controversy . The use of magnesium for AF has been a controversial topic for decades. Magnesium is a normal electrolyte, so it is cheap and has an excellent safety profile. Ironically, this is also magnesium’s Achilles heel, because this has caused the pharmaceutical industry to have no interest in it. This leaves […]
The Ties that Bind: Social Capital and the Psychology of FOAM by Mike Lauria
You are unauthorized to view this page. Username Password Remember Me Forgot Password
- « Previous Page
- 1
- …
- 16
- 17
- 18
- 19
- 20
- …
- 24
- Next Page »