36 results
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
Delirium in the ICU ... Relevant drug levels (e.g ... rigidity) Consider EEG ... #MICU #CriticalCare ... #Diagnosis
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia.
 - At
prolonged PR and QT ... sine wave (QRS-T fusion ... #Diagnosis #Hyperkalemia ... #EKG #ECG #Changes ... #Progression #Table
Hypermagnesemia - Etiologies by Mechanism
Renal Failure 
Excessive Mg Administration 
 - Massive PO intake
(e.g. eclampsia ... Hypermagnesemia #Differential ... #Diagnosis #High ... #Magnesium #Table ... #Causes #Management
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... for Three Common Causes ... when possible (eg ... dysrhythmias (eg ... reverse the insult (eg
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Propofol infusion ... it should not cause ... SE: prolonged QTC ... #CriticalCare # ... diagnosis #management
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU ... hyponatremia, AKI, etc ... will also get an EKG ... Pearls #Checklist #diagnosis ... #workup #criticalcare
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on ECG ... Triage EKG (no prior ... Differential/diagnosis ... See thread for POCUS ... Pulmonary #Embolism #ECG
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
39 C this is a clinical ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... , e.g. central line ... pericardiocentesis kit (eg ... • Diagnostic ... #Management #Workup
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
risk factors (eg ... hypertension (eg ... 109 mm Hg) with clinical ... hypertension (eg ... #causes #Differential