13 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
Navigating a Rapid Response Team (RRT)

Assert Leadership:
 • Stand at foot of bed
 • Introduce yourself
Stand at foot of bed ... Ask for brief summary ... remain on floor vs ICU ... Response #Team #RRT #Management ... #treatment #criticalcare
Summary of meta-analysis of pharmacotherapy trials in BPD
https://www.cochrane.org/CD005652/BEHAV_psychological-therapies-borderline-personality-disorder
Meta-analyses of RCTs were undertaken for the following outcomes:
Summary of meta-analysis ... irritability, depression, anxiety ... Guideline for the Management ... with ‘treatment ... and 5.4 #EBM #Management
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
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Delirium in the ICU ... (e.g. frequent Bp ... Delirium #Checklist #Management ... #Treatment #MICU ... #CriticalCare
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
HR > 90 bpm 3. ... likelihood of prolonged ICU ... recognition and treatment ... #QSOFA #SIRS #criticalcare ... #icu
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
common in OR; in MICU ... Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison
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 ... : • For most ICU ... diagnosis #workup #criticalcare
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
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Summary • Hypotension ... Tachycardia > 100 BPM ... #Summary #criticalcare ... #treatment #workup