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COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
in the ICU, now ... #Management #Summary ... #SARSCoV2 #Coronavirus ... #CriticalCare ... : Marino's The ICU
Possible Approach to Immunosuppression in Severe COVID-19

The diagnosis and treatment of cytokine storm remains unknown and
Immunosuppression in Severe COVID ... -19 The diagnosis ... #management #schema ... #criticalcare # ... algorithm #SARSCOV2
Possible approach to empiric anticoagulation in COVID-19

Is D-dimer above '"1,000-2,000 ng/ml?
Contraindication to anticoagulation?
Check fibrinogen level and/or
anticoagulation in COVID ... anticoagulation #COVID19 ... #management #schema ... #criticalcare # ... algorithm #SARSCOV2
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
opacities • Diagnosis ... sepsis), PE, DAH, CHF ... 500 mg QD until normal ... organ dysfuxtion, ICU ... #management #hematology
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
including HTN), and ↑ oral ... No pharmacologic ... (Haldol) - No pharmacologic ... #CriticalCare # ... diagnosis #management
The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
crusade against “Ab”Normal ... When we infuse Normal ... #foamed #criticalcare ... #management #diagnosis ... #treatment #pharmacology
Cryofibrinogenemia Summary

Cryofibrinogenemia Epidemiology:
 • 40-70 years with a modest female predominance

Cryofibrinogenemia:
 • The precipitation of a
cooled from the normal ... disease 2019 (COVID ... limb and bowel ischemia ... Cryofibrinogenemia Diagnosis ... #rheumatology #
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
transitioning to oral ... #algorithm #management ... #heartfailure #chf ... #criticalcare # ... icu #clinical #pharmacology
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
pulmonary symptoms • Rheumatologic ... , with ensuing ischemia ... MC: CNS CSF: • ... level • A low or normal ... #Management #Infections