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Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
Delirium in the ICU ... Carboxyhemoglobin level ... tox/infectious workup ... Substantially reduced level ... #MICU #CriticalCare
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
COVID-19: ICU Guidelines for the Non-Intensivist
Infection Control
Risk Factors for Severe Disease
Initial Laboratory Workup
COVID-19 Specific Medications
Respiratory
Cardiac
Hematologic
Neuro/Sedation

#COVID19 #ICU
COVID-19: ICU Guidelines ... Initial Laboratory Workup ... Sedation #COVID19 #ICU ... #criticalcare # ... NonIntensivist #diagnosis #management
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Rapid Response Management ... Diagnosis and Workup ... #Hypotension #Management ... #criticalcare # ... Shock
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU ... /management of shock ... : • For most ICU ... bedside echo is never ... #criticalcare
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 ... likelihood of prolonged ICU ... #QSOFA #SIRS #criticalcare ... #icu
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... and Survey 4) Workup ... #Diagnosis #Management ... #Summary #criticalcare ... #treatment #workup
Important Blood Pressure Targets in the ED
Subarachnoid Hemorrhage: 
    SBP < 140 -
raised ICP: MAP ... raised ICP: MAP ... hour Hemorrhagic Shock ... 65) Neurogenic Shock ... targets #goals #management
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
assessment of Shock ... , i.e. septic shock ... #Pulmonology #CriticalCare ... #Shock #Fluids ... #POCUS
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 #