11 results
Major Clinical Trials and Evidence Summary for Transfusion Thresholds in Critical Care

TRICC - NEJM 1999 -
Major Clinical Trials ... NEJM 1999 - ICU FOCUS ... Blood saves lives ... unnecessary and cause ... /vmoitra) #EBM
Point-of-care Ultrasound for Diagnosis of Abscess in Skin and Soft Tissue Infections

1. POCUS is more accurate
Point-of-care Ultrasound ... cellulitis in cases ... abscess is not clinically ... POCUS has a negative ... VisualAbstract #EBM
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
removal from the blood ... of lactate as a clinical ... a multitude of clinical ... or renal injury ... / hypoxemia -> focus
Blood Transfusion Reactions

Immune Mediated:
 • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
, DIC, hypoTN, renal ... Causes purpura & ... TRALI): Leading cause ... eruptions, diarrhea, liver ... diagnosis #management #hematology
Blood Product Transfusions One Pager Summary
Type and screen - determines blood type and detects in recipient
, DIC, hypoTN, renal ... Causes purpura & ... TRALI): Leading cause ... eruptions, diarrhea, liver ... more likely to cause
Hepatic Metastases on POCUS 
Patient with history of colon cancer presents with right flank pain. Focused
Metastases on POCUS ... Focused renal u/ ... Note hepatic masses ... #POCUS #clinical ... #ultrasound #metastatic
Hepatic Metastases on POCUS 
Patient with history of colon cancer presents with right flank pain. Focused
Metastases on POCUS ... Focused renal u/ ... Note hepatic masses ... #POCUS #clinical ... #ultrasound #metastatic
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
ABO incompatible blood ... organ damage Clinical ... Bleeding (64%) • Renal ... DIC • Severe Liver ... Treat primary cause
Anemia of Hospitalization - Pathophysiology

Why does the Hgb/Hct drop in the first two days during hospitalization?

Interestingly,
recognition of bedrest’s negative ... the Journal of Clinical ... deficiencies • Renal ... , liver, or endocrine ... • Anemia of renal
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
Caused by splanchnic ... Diagnosis (Clinical ... , protein, or blood ... Normal kidney ultrasound ... Exclude other AKI causes