19 results
Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
Managing Pain, Anxiety ... @nickmmark #Pain ... Anxiety #Delirium #CriticalCare ... #Comparison #Management ... #Diagnosis #ICU
Driving Pressure in Mechanical Ventilation

Driving Pressure (delta P) = Pplat - PEEP

Salim R. Rezaie, MD @srrezaie

#DrivingPressure
MechanicalVentilation #CriticalCare ... #Management #Diagnosis ... #Table
Intern Pocket Cards - Pharmacologic Pain Management Options
Anti-inflammatory:
 • Acetaminophen (24 hours: < 3-4g in healthy
Pharmacologic Pain ... Management Options ... Gabapentin, pregabalin, SNRIs ... pocketcardset #Pain ... Opioid #Conversion #Table
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
- Differential Diagnosis ... cyclosporine, SSRIs ... ) Severe pain ... #Differential #Diagnosis ... #Table #Causes
Back Pain - Differential Diagnosis
Primary Back Pathology:
 • Musculoligamentous injury (a.k.a. lumbosacral strain)
 • Spondylosis (i.e.
Back Pain - Differential ... Diagnosis Primary ... #Differential #Diagnosis ... #causes #primarycare ... #table
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Hemodynamics (Stable ... prognostication #diagnosis ... #management #stratification ... #criticalcare #
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pain control - ... gram Q6hr) and pain-dose ... limit them as able ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
: Pain control ... • If stable ... • Nonoperative managernent ... Radiology #XRay #Diagnosis ... #Management #Orthopedics
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
CAM-ICU) - Pain ... Syndrome #PICS #diagnosis ... #management #criticalcare
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
and Management ... Pleuritic chest pain ... Lung Abscess Management ... shows a small, stable ... differential #causes #management