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COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
COVID19 in the ICU ... cough • 45% febrile ... #Management #Summary ... #Coronavirus #CriticalCare ... : Marino's The ICU
Hantavirus
Pathogen: Hantavirus - Rodents are the primary reservoir
Transmission:
 • Shed in the urine, feces, saliva of
Syndrome (HCPS): Febrile ... +/- diarrhea Diagnosis ... • Autopsy PCR Treatment ... • Supportive: ICU ... #management #treatment
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
RISK FACTORS - ICU ... guide targeted treatments ... Syndrome #PICS #diagnosis ... #management #criticalcare ... #icu
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Delirium in the ICU ... c deliriogenic meds ... Delirium #Checklist #Management ... #Treatment #MICU ... #CriticalCare
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
Sepsis - Diagnosis ... likelihood of prolonged ICU ... recognition and treatment ... #SIRS #criticalcare ... #icu
“Step by Step” – the new kid on the block – aims to risk stratify this
investigations and treatments ... CRP < 20 mg/L #Diagnosis ... #Management #Pediatrics ... #Peds #Febrile
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 ... : • For most ICU ... Pearls #Checklist #diagnosis ... #workup #criticalcare
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Triggers: ATRA treatment ... Rare: DAH, acute febrile ... Renal Failure Treatment ... organ dysfuxtion, ICU ... #management #hematology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
myasthenia Diagnosis ... : - Bedside: ice ... immunosuppressants - Meds ... Myasthenia #Gravis #diagnosis ... #management #neurology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
& Dry) is the treatment ... #algorithm #management ... #cardiology #treatment ... heartfailure #chf #criticalcare ... #icu #clinical