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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
COVID19 in the ICU ... -4 (similar to influenza ... Imaging • CXR ... Cheatsheet #Diagnosis #Management ... #Coronavirus #CriticalCare
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 ... will also get an EKG ... and CXR ... diagnosis #workup #criticalcare
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Enteroviruses (e.g ... virus (LCMV), influenza ... Coltivirus Symptoms ... Symptoms: ... Acute meningeal signs
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
diagnostic uncertainty (e.g ... other indication (e.g ... BID if <96hr of symptoms ... #Checklist #Management ... #CriticalCare
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
is unconscious, signs ... is conscious, symptoms ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
polymicrobial infection ... Blood cultures • CXR ... early disease) • CXR ... Influenza - E. ... • Vasculitis (e.g
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Treat if other signs ... 1: 1.5 g/kg of ... only if worsening symptoms ... ↓ rebleeding, infections ... SBP #diagnosis #management
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
: vaccination (Influenza ... than one after symptom ... Electrodiagnostic studies (Ex EMG ... intensive care unit (ICU ... Syndrome #diagnosis #management
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
or TSH level if symptoms ... oral secretions (e.g ... monitoring (vital signs ... MyastheniaGravis #Checklist #Management ... #CriticalCare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... differential #algorithm #management ... #cardiology #treatment ... heartfailure #chf #criticalcare ... #icu #clinical