CONTENTS Definition of consolidation General causes of consolidation Anatomic distributions: Round consolidation Diffuse consolidation Acute diffuse consolidation Chronic diffuse consolidation Peripheral consolidation Density: Low-density consolidation High-density consolidation Consolidation-related signs: Bulging fissure sign Reversed halo sign (aka, Atoll sign) Perilobular pattern Questions & discussion general definition of consolidation Consolidation refers to airspace disease that is dense […]
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Table of Contents
SYSTEMS Cardiology Endocrinology Gastroenterology Hematology & Oncology Infectious diseases Nephrology Neurology Obstetrics Pulmonology Rheumatology Toxicology & Temperature Overview: Guide to supportive care in critical illness Medication reconciliation in the ICU About this book How to create your own IBCC smartphone app 📲 General Approaches to problems Cardiac arrest 🔜 Chest pain Hypertensive emergency SCAPE (Sympathetic […]
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 […]
EMCrit 218 – Physostigmine with Bryan Hayes
Physostigmine for Anticholinergic toxicity
Myasthenia gravis & myasthenic crisis
CONTENTS Rapid Reference 🚀 Myasthenia Gravis: Background information Pathophysiology Presentation Diagnosis Serologic testing & types Drugs to avoid in myasthenia gravis Myasthenic crisis: diagnosis Diagnosis of myasthenic crisis: basics Differentiation from cholinergic crisis Triggers of myasthenic crisis Myasthenic crisis: treatment Blood gas monitoring Bedside pulmonary function tests Respiratory support Nutrition & GI access Pyridostigmine Steroid […]
Thoracic Radiology – Septal thickening & reticular patterns
CONTENTS Septal thickening Nodular septal thickening Crazy paving Fibrosis (including honeycombing) Questions & discussion abbreviations used in the pulmonary section AE-ILD: Acute exacerbation of ILD 📖 AIP: Acute interstitial pneumonia (Hamman-Rich syndrome) 📖 ANA: Antinuclear antibody 📖 ANCA: Antineutrophil cytoplasmic antibodies 📖 ARDS: Acute respiratory distress syndrome 📖 ASS: Antisynthetase Syndrome 📖 BAL: Bronchoalveolar lavage […]
PulmCrit – I’m upset about the RELAX trial
Some studies have reported a gradual upwards trend in the PEEP being used for intubated patients without ARDS (e.g., from 5 cm to 7 cm). Is this good or bad? That is the question which the RELAX trial embarked upon answering. It’s a complex question which probably doesn’t have a binary answer… but never mind – let’s get to the study.
Local Anesthetic Systemic Toxicity (LAST)
CONTENTS Epidemiology Presentation Differential diagnosis Treatment Podcast Questions & discussion Pitfalls patient-dependent risk factors Hepatic dysfunction: Most anesthetics are hepatically cleared. Clearance rate is most relevant if the agent is slowly absorbed, administered in multiple doses, or provided as a continuous infusion. Cardiac dysfunction: Reduced cardiac reserve function may render LAST more dangerous (e.g., patients […]
PulmCrit – Understanding happy hypoxemia physiology: how COVID taught me to treat pneumococcus
Happy hypoxemia is severe hypoxemia (poorly responsive to supplemental oxygen) without dyspnea. This isn’t anything especially new – we have occasionally seen this since time immemorial. However, COVID is causing us to re-think how to manage this physiology. understanding the paradox of happy hypoxemia The key to understanding this is thinking about oxygenation and CO2 […]
Stress Inoculation Training by Mike Lauria
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EMCrit 98 – Cyclic (Tricyclic) Antidepressant Overdose
Tricyclic overdoses are not uncommon and these patients can be incredibly ill.
Salicylate intoxication
CONTENTS Rapid Reference 🚀 Diagnosis Epidemiology Signs & symptoms General laboratory abnormalities Salicylate level Treatment Airway management & decontamination Delirium & dysglycemia Alkalinization Volume resuscitation Hemodialysis Lab monitoring When to stop Podcast Questions & discussion Pitfalls Salicylate intoxication checklist ✅ Labs & targets (cycle q2hr until resolution) 📖 Glucose: Target >80-100 mg/dL if altered mental […]
EMCrit 296 – The French Connection, Part 1 – Resuscitation Geography, Logistics, & Ergonomics
A new series on the philosophy and psychology of resuscitation…
PulmCrit: “ARDS” is not a real thing
My dear pulmonologists, I have some bad news. Santa Claus isn’t real. Neither is “ARDS.” “ARDS” has traditionally been conflated with a specific histopathological form of lung injury: diffuse alveolar damage (DAD). Lectures, chapters, and articles typically juxtapose these two entities, promoting the concept that they’re one and the same. But they aren’t. The ability […]
EMCrit Shadowboxing Case 3 – Chicken or Egg – Which Organ Failed First?
Shadow Boxing Respiratory Failure Case
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