41 results
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver ... , Severe Valve Disease ... : 1) MAP > 60-65 ... #criticalcare # ... #management
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
Sepsis - Diagnosis ... infection SEPTIC SHOCK ... recognition and treatment ... #SIRS #criticalcare ... #icu
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
of invasive GAS disease ... 50% in nec fasc Diagnostic ... (2+): kidneys, liver ... IVIG 1g/kg on day 1, ... #management #diagnosis
Cold Urticaria
Prevalence - 0.05% in the population
Disease onset - Mostly 2nd to 4th decades of life
Causes
symptoms - Headache, fever ... , Hypotension, shock ... Disorientation, vertigo Diagnostic ... tests - Ice cube ... Cold #Urticaria #diagnosis
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Salicylate Toxicity - Diagnosis ... Consider if: ... 1) Patient is hot ... Pulmonary edema, Shock ... #management #Treatment
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
, ↓ Fibrinogen level ... • Autoimmune diseases ... Unknown cause Treatment ... of emergency, ICU ... #management #treatment
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
- Triglyceride level ... as for septic shock ... acetaminophen 1 ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
tool to assess level ... Target -1, but will ... bradycardia. renal/liver ... #CriticalCare # ... diagnosis #management
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
dengue severity classification ... and no apparent focus ... Shock evidenced ... or ALT > 1000 IU ... #diagnosis
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
Infection: Coronavirus Disease ... in Seattle 2020-1- ... unilateral* • POCUS ... #Management #Summary ... #Coronavirus #CriticalCare