36 results
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
of baseline Treatments ... IV Mg, Heliox, Ketamine ... #Exacerbation #CriticalCare ... mechanical #management #treatment
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Assessment 3) Examine ... Obstructive 4) Diagnosis ... Hypotension #Management #criticalcare
Richmond Agitation Sedation Scale
+4 - Combative, Violent, Immediate Danger to Staff
+3 - Very Agitated - Pulls
Richmond Agitation ... RASS #Richmond #Agitation ... Sedation #Scale #diagnosis ... #criticalcare
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Pain, Agitation, ... Richmond Agitation ... bradycardia • Ketamine ... Delirium #PAD #ICU #CriticalCare ... #diagnosis #management
Bipolar Disorder: Pathogenesis and Clinical Findings
 • Disruption of emotional homeostasis
 • Oscillation between mood states
directed behaviours/agitation ... mood - Primary treatment ... - psychomotor agitation ... MoodDisorders #Diagnosis
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Checklist for Treatment ... consider empiric treatment ... severe nocturnal agitation ... Checklist #Management #Treatment ... #MICU #CriticalCare
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
Irritability, anxiety or agitation ... hyperthyroidism Diagnosis ... Diarrhea - Anxiety, agitation ... ↑ AST/ALT • Treatment ... tenderness Treatment
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
areas with poor sanitation ... disease ARDS Diagnosis ... #microbiology #diagnosis ... #treatment #management
Croup Diagnosis and Management Pearls
Common childhood illness, usually viral and self limiting. Characterised by a seal-like
Croup Diagnosis ... No agitation or ... associated with agitation ... Treatment: Single ... PeterboroughEM #Croup #Diagnosis
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... Dehydration Shock Treatment ... #Differential #Diagnosis ... #criticalcare # ... algorithm #treatment