10 results
TTH48 - Targeted Temperature Management for 48 vs 24 Hours and Neurologic Outcome After Out-of-Hospital Cardiac
vs 24 Hours and Neurologic ... admitted to the ICU ... improve 6-month neurologic ... #CriticalCare #ICU ... VisualAbstract #EBM
POLAR Randomized Clinical Trial - Effect of Early Sustained Prophylactic Hypothermia on Neurologic Outcomes Among Patients
Hypothermia on Neurologic ... did not improve neurologic ... #CriticalCare #ICU ... VisualAbstract #EBM
ICU Pre-Rounding Bundle Checklist
VITALS: trends!
 • Important to know if the pt is getting better or
ICU Pre-Rounding ... goal (+/- CAM-ICU ... BMs (know last BM ... @EmmGeezee #ICU ... #CriticalCare #Management
Central line myth #2: location, location, location 

By far the best data we have to guide
have to guide management ... in 3027 adult ICU ... pubmed/26398070 #EBM
Creatine Kinase - Causes of Elevated CK Levels
Acute CK Elevation (Pain > Weakness):
 • RHABDOMYOLYSIS
(COVID19, CMV/EBV ... Illness Myopathy (ICU ... #Elevated #CK #differential
Nonsedation or Light Sedation in Critically Ill, Mechanically Ventilated Patients - Visual Abstract

CONCLUSIONS: Among mechanically ventilated
mechanically ventilated ICU ... Nonsedation #Light #Management ... #EBM #CriticalCare
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
Infections+++: Virus (EBV ... biologics (CMV +++, EBV ... of emergency, ICU ... Lymphohistiocytosis #diagnosis #management
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
non-localized EOM ... suspected and anti-ACh ... cogan sign and the ice ... Myasthenia #Gravis #PhysicalExam ... ophthalmology #neurology
Sepsis - Interventions that do / do not improve outcomes
Do:
- Have high index of suspicion and
nurses well, pay ICU ... Interventions #Management ... Factors #Matter #EBM
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... previous gaze position ... • If ok with ICU ... caseyalbin #PhysicalExam ... #neurology #comatose