CONTENTS Pulmonary lymphoid neoplasms MALT lymphoma PP-DLBCL (Primary pulmonary diffuse large B-cell lymphoma) Lymphomatoid granulomatosis Pulmonary involvement from systemic lymphoma PTLD (posttransplant lymphoproliferative disorder) IgG4-related lung disease Pleural involvement ➡️ Benign hyperplastic disorders Follicular bronchiolitis (aka BALT hyperplasia) ➡️ GLILD (Granulomatous and lymphocytic interstitial pneumonia) ➡️ Questions & discussion abbreviations used in the pulmonary section: […]
Search Results for: acid base
ODR 005 – NonViolent Communication
One of the most important books I have read…
EMCrit RACC Lit Review – January 2024
All the lit goodness for Jan 2024
PulmCrit- Controlled aquaresis: Management of hypervolemic or euvolemic hyponatremia with oral urea
I’ve been yearning to use oral urea for euvolemic hyponatremia for years (e.g. see a post from 2015 here). Urea has been used in Europe for decades, but until very recently it was unavailable in the United States. It has numerous advantages compared to the vaptans (which are extremely expensive and potentially dangerous). Recently, an […]
ABG, VBG, and pulse oximetry
CONTENTS Assessment of oxygenation: Advantages of pulse oximetry over ABG Situations where ABG is needed to assess oxygenation: Poor arterial waveform Dyshemoglobinemia P/F ratio A-a gradient Patients with dark skin Other causes of inaccurate pulse oximetry Assessment of ventilation: VBG to assess pH and ventilation end tidal CO2 (etCO2) Additional topics related to pulse oximetry: […]
EMCrit 86 – IVC Ultrasound for Fluid Tolerance in Spontaneously Breathing Patients
Can the Inferior Vena Cava Ultrasound guide our fluid administration in the ED? Of course it can!
EMCrit 368 – The Acute Critical Care Medication Reconciliation with Josh Farkas
The acute crit care med rec
Guest Post – Down with STEMI – The OMI Manifesto by Pendell Meyers
Down with STEMI
CC Nerd-The Case of the Anatomic Inaccuracy
A recent publication in Chest by Semler et al examined the utility of the ramped position for the emergent intubation of patients in the ICU (1). The results not only call into question our use of this technique, but more importantly the outcomes we use to evaluate the efficacy of airway interventions outside the pristine […]
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 […]
COMM CHECK: On Checklists
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External Ventricular Drain (EVD) & Lumbar drain
CONTENTS Introduction Indications Contraindications EVD settings Troubleshooting Overdrainage Catheter occlusion EVD weaning ICP interpretation 📖 Complications Ventriculitis Hemorrhage Lumbar drain DVT prophylaxis Podcast Questions & discussion Pitfalls basics of what an external ventricular drain (EVD) is A burr hole is used to penetrate the skull, after which a catheter is blindly advanced into the lateral […]
Organizing pneumonia (OP)
CONTENTS Basics Epidemiology & causes of organizing pneumonia Presentation Imaging findings Consolidation Nodule or mass Ground-glass opacities Perilobular opacities Pertinent negatives Laboratory studies Invasive diagnostics Differential diagnosis Management Questions & discussion Organizing pneumonia (OP) is a pathological form of lung response to various injuries. It involves the formation of organized plugs of fibrous tissue within […]
Right Ventricular failure
CONTENTS Rapid Reference: Approach to RV failure 🚀 Preamble: Don’t forget the right ventricle! Pathophysiology of RV failure RV death spiral RV myocardial perfusion Falling off the Starling curve Occult systemic hypoperfusion Diagnosis of RV failure Defining RV failure Physical exam findings Lab findings Radiology EKG Echocardiography Causes of right ventricular failure Chronic pulmonary hypertension […]
CV-EMCrit – Cardiovascular Intensivist Series: Post Cardiopulmonary Bypass Care (CABG) with Trina Augustin
Management of the Post-CABG pt in the ICU
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