12 results
Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
Managing Pain, Anxiety ... Delirium in the ICU ... #Delirium #CriticalCare ... #Comparison #Management ... #Diagnosis #ICU
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
Emotional Domain: Anxiety ... guide targeted treatments ... PICS #diagnosis #management ... #criticalcare # ... icu
Navigating a Rapid Response Team (RRT)

Assert Leadership:
 • Stand at foot of bed
 • Introduce yourself
Ask for brief summary ... RRT: • Final summary ... remain on floor vs ICU ... Response #Team #RRT #Management ... #treatment #criticalcare
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism Treatment ... - 2% risk of ICH ... Pulmonary #Embolism #Treatment ... #AcutePE #Management ... #CriticalCare
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
common in OR; in MICU ... Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
COVID19 in the ICU ... Cheatsheet #Diagnosis #Management ... #Summary #SARSCoV2 ... #Coronavirus #CriticalCare ... : Marino's The ICU
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Fulminant: - Acute ... Low voltage Treatment ... Myocarditis #diagnosis #management ... #cardiology #summary
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Summary • Hypotension ... - Pulmonary >> Acute ... #Summary #criticalcare ... #treatment #workup
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU ... esp in work-up/management ... note, discharge summary ... something has acutely ... diagnosis #workup #criticalcare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
important to recognize Acute ... differential #algorithm #management ... #cardiology #treatment ... heartfailure #chf #criticalcare ... #icu #clinical