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American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
2) Subsequent ICU ... goals—if shock ... #CriticalCare # ... Peds #Pediatrics #Sepsis ... #Management #StepWise
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
SHOCK is a subset ... shock are identified ... likelihood of prolonged ICU ... #QSOFA #SIRS #criticalcare ... #icu
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
for admission (if ... disease work up ... of hypotension, shock ... , sepsis, GIB etc ... #Consultation #
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
obtain urgent consultation ... SEPTIC SHOCK • ... for hemoglobin level ... #Shock #Management ... #CriticalCare
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
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
endocarditis w/ septic ... Indications for surgical consultation ... • Persistent fever ... infection (e.g. septic ... Endocarditis #checklist #criticalcare
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
ultrasound - Calcium level ... - Triglyceride level ... strategy as for septic ... shock (e.g. moderate ... #CriticalCare
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Cardiogenic & Septic ... Shock, Severe Anemia ... Beta-Agonists, ↑ work ... Malaria, Late Sepsis ... Differential #Diagnosis #criticalcare
Bacteremia Quick Reference - Treatment Duration

Gram Negative Bacteremia:
 • Avoid: Aminoglycosides and tigecycline
 • Catheters should
be removed in septic ... shock, suppurative ... - No fever ... Bacteremia #Treatment #Management ... #Duration #infectiousdiseases
The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
this post will focus ... both work together ... easily be fatal if ... #foamed #criticalcare ... #management #diagnosis