13 results
Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
Delirium in the ICU ... Anxiety #Delirium #CriticalCare ... #Comparison #Management ... #Diagnosis #ICU
Serotonin Syndrome - THINK: FAST
 - FAST onset
 - FAST movements (agitation, akathisia, HYPERreflexia)
 - FAST
Serotonin Syndrome ... FAST movements (agitation ... Neuroleptic Malignant Syndrome ... #Diagnosis #Toxicology ... #Comparison #Differentiate
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Pain, Agitation, ... Propofol infusion syndrome ... bradycardia • Ketamine ... #CriticalCare # ... diagnosis #management
When trying to differentiate between the two conditions think “FAST” with Serotonin Syndrome and “SLOW” with
with Serotonin Syndrome ... Serotonin Syndrome ... FAST movements (agitation ... resolution #Diagnosis ... NeurolepticMalignant #Comparison
Characteristics of Serotonin Syndrome and Other Hyperthermic Syndromes 
Serotonin Syndrome
 - SSRIs, second-generation antidepressants, MAOIs, linezolid,
Characteristics of Serotonin Syndrome ... Other Hyperthermic Syndromes ... Serotonin Syndrome ... diarrhea, mydriasis, agitation ... #Diagnosis #Comparison
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
Post-Intensive Care Syndrome ... IntensiveCare #Syndrome ... #PICS #diagnosis ... #management #criticalcare ... #icu
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
abdominal compartment syndrome ... and pain-dose ketamine ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
- Differential Diagnosis ... anaphylaxis, release syndrome ... #Differential #Diagnosis ... #table #comparison ... #criticalcare
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 • Onset/Trimester: 25-32 weeks
 • Typical clinical features:
of Pregnancy (ICP ... necrosis HELLP Syndrome ... obstetrics #hepatitis #comparison ... #differential #diagnosis ... #icp #HELLP #AFLP
Acute Altered Mental Status - Rapid Response Management

1) Ask while en route: vitals, hyper/hypoactive, POC glucose,
symptom, not a diagnosis ... • Hyperactive (Agitation ... Hypoactive 3) Examine ... 4) Diagnosis and ... status #Management #criticalcare