22 results
Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
Managing Pain, Anxiety ... in the ICU Nick ... @nickmmark #Pain ... Anxiety #Delirium #CriticalCare ... #Comparison #Management
Ottawa Subarachnoid Hemorrhage (SAH) Rule:

The Ottawa SAH rule contains 6 clinical variables to consider:
- Age >=40
-
- Age >=40 - Neck ... pain or stiffness ... instantly peaking pain ... ) - Limited neck ... Intracranial #ICH #Management
Pediatric Inflammatory Multisystem Syndrome Temporally associated with SARS-CoV-2 infection (PIMS-TS)
Clinical features
all: fever > 101.3 F
most: oxygen
Inflammatory Multisystem Syndrome ... some: abdominal pain ... changes, syncope, neck ... #Inflammatory #Syndrome ... #PIMSTS #covid19
Understanding & Treating ARDS - Acute Respiratory Distress Syndrome

•  Timing - within one week of
Respiratory Distress Syndrome ... ratio < 300 Nick ... Distress #Acute #Syndrome ... #Diagnosis #Management ... #CriticalCare
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
COVID-19 Intubation ... Hood to cover neck ... don't actively bag ... Checklist #SARSCoV2 #Management ... #CriticalCare #
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
COVID-19 - A Seattle ... Cheat-Sheet on COVID ... bronchograms Nick ... Cheatsheet #Diagnosis #Management ... #Coronavirus #CriticalCare
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
reduce long lasting pain ... happy lungs Nick ... Algorithm #Extubation #CriticalCare ... #Management
Adjunct Therapies to Consider in Acute Respiratory Distress Syndrome 

#management #criticalcare #pulmonary #covid19
Respiratory Distress Syndrome ... #management ... #criticalcare # ... pulmonary #covid19
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Ischemia, Compartment Syndrome ... Demand: Stress / Pain ... • Presents as AG ... infographic by Nick ... Differential #Diagnosis #criticalcare
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
Post-Intensive Care Syndrome ... CAM-ICU) - Pain ... IntensiveCare #Syndrome ... PICS #diagnosis #management ... #criticalcare #