CONTENTS Limitations of this chapter Brief word on pathogenesis General clinical principles Encephalopathy Diffuse leukoencephalopathy with diffusion restriction Acute necrotizing encephalopathy (ANE) Mild encephalopathy with reversible splenial lesion (MERS) Acute disseminated encephalomyelitis (ADEM) & Acute hemorrhagic leukoencephalitis (AHLE) Myelitis Autoimmune encephalitis Posterior reversible encephalopathy syndrome (PRES) Stroke Acute ischemic stroke Intracranial hemorrhage & microbleeds Cerebral […]
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Spinal Cord
CONTENTS Spinal cord basics Anatomy Recognizing spinal cord injury Lesion localization Bowel and bladder symptoms Spinal cord radiology Patterns of axial involvement Patterns of longitudinal involvement Acute & subacute myelopathy Potential causes Investigation Blood tests CSF evaluation Imaging Specific myelopathies Spinal cord infarction Spinal dural arteriovenous fistula (dAVF) Spinal epidural hematoma Cauda equina syndrome Nitrous […]
Intracerebral hemorrhage (ICH)
CONTENTS Rapid Reference 🚀 Pathophysiology Causes of ICH Imaging Getting started – Which scans to order initially Noncontrast CT scan CT angiography +/- venography MRI Invasive angiography Treatment Airway management Anticoagulation reversal Blood pressure management Neurosurgical interventions Supratentorial hematoma evacuation Cerebellar hematoma Intraventricular hemorrhage & EVD Seizure monitoring & management Other supportive measures Prognostication Related […]
A Case of Shadows
In medicine we frequently propagate half-truths and unsubstantiated certainties. Thus, truth is a relative experience, dependent primarily on how we choose to define it rather than any concrete state of reality. Increasingly we have favored a technological definition of truth over that of the clinical perspective. As such we are driven to act in disease […]
EMCrit 161 – The New Fluid Assessment in Sepsis with Jean-Francois Lanctot
Fluids, Sepsis, Ultrasound, French-Canadian: what more do you want?
Type-1 Myocardial Infarction (OMI & NOMI)
CONTENTS diagnosis & risk stratification Nomenclature & types of MI Diagnosis DDx of MI EKG findings in MI Anterior OMI Inferior OMI RV OMI (RVMI, including management) Posterior OMI High lateral OMI OMI in LBBB or RV-pacing OMI vs aneurysm Hyperacute T-waves & de Winter pattern Wellens patterns Subendocardial ischemia patterns Risk stratification management General […]
EMCrit 354 – Reduced-Dose Systemic Peripheral Fibrinolysis in Massive Pulmonary Embolism
Lower dose peripheral infusion for sick pulmonary embolism patients
NATO Phonetic Alphabet
A Alpha B Bravo C Charlie D Delta E Echo F Foxtrot G Golf H Hotel I India J Juliet K Kilo L Lima M Mike N November O Oscar P Papa Q Quebec R Romeo S Sierra T Tango U Uniform V Victor W Whiskey X X-ray Y Yankee Z Zulu
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 […]
EMCrit Wee – Ross Prager on 10 Heuristics for the New ICU Attending
10 heuristics for the new Crit Care doc from Ross Prager
“The Case of the Dying Detective Continues…”
Survivors of the Armageddon in any of its many forms, zombie, alien, or otherwise, are often left in a state of emotional turmoil. They face an uncertain future, the loss of loved ones, and the constant stress of imminent danger. Underneath the obvious anguish lies a deeper more subtle but equally distressing sentiment, uncertainty. Now […]
Comments on the Sepsis Talks
Adam Drenzla wrote these excellent comments after listening to the Rivers’ Podcasts
EMCrit 310 – Transvenous Pacemakers
As you might imagine on an EMCrit podcast, there are a ton of logistical details on placing and managing transvenous pacemakers.
EMCrit 89 – Lessons from the STOP Sepsis Collaborative
We have hit the 10,0000 patient mark in the NYC STOP Sepsis collaborative. Here are some of the lessons learned…
EMCrit RACC-Lit Review – March 2024
All the literature goodness for March 2024
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