9 results
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
goal-directed stepwise management ... 2) Subsequent ICU ... goals—if shock ... #CriticalCare # ... Pediatrics #Sepsis #Management
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
infection SEPTIC SHOCK ... Patients w/ septic shock ... WBC > 12 K or < ... #QSOFA #SIRS #criticalcare ... #icu
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... common in OR; in MICU ... in refractory shock ... Vasopressors #Inotropes #management ... #criticalcare #
Approach to Hemorrhagic Shock
PLAN FOR CONTROLLING HEMORRHAGE & ACTIVATE MASSIVE TRANSFUSION PROTOCOL
 • Activate massive transfusion
to Hemorrhagic Shock ... • Can use CBC ... #Hemorrhagic #Shock ... #Management #Summary ... #CriticalCare #
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Dehydration Shock ... 3) UOP > 0.5 cc ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU ... esp in work-up/management ... of shock MICRO ... pts a CBC and CMP ... diagnosis #workup #criticalcare
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
intubation & lower ICU ... mortality compared to CNC ... Delivery #Devices #management ... #pulmonary #criticalcare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
essentially Cardiogenic Shock ... differential #algorithm #management ... heartfailure #chf #criticalcare ... #icu #clinical
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
POCT Glucose • CBC ... Normal Saline 1000 cc ... Cardiac Surgeon and ICU ... CPR • Max 3 shocks ... Hypothermia #Protocol #management