27 results
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
CCB, BB, BRASH syndrome ... Pneumothorax, Cardiac ... low CO later), Anaphylaxis ... cytokine release syndrome ... guyton #curves #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Distributive: Sepsis, Anaphylaxis ... Pneumothorax, Cardiac ... Abdominal compartment syndrome ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Allergic reaction / anaphylaxis ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management ... #Workup
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... findings based on cause ... Sepsis. neurogenic, anaphylaxis ... , release syndrome ... table #comparison #criticalcare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... Cardiac surgery? ... #Summary #criticalcare
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... alternate vasopressor (e.g ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
checklist Evaluation ... as for septic shock ... abdominal compartment syndrome ... #Pancreatitis #Checklist ... #CriticalCare
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
ischaemia → 3-12 o Anaphylaxis ... → 3-1 o Cardiac ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach ... patients (including cardiac ... NPO, or profound shock ... #Hypokalemia #Management ... #CriticalCare
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... Obtain a 12-lead ECG ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup