32 results
Delirium in the ICU

Defining delirium
Types of delirium
Consequences of delirium
Reversible causes of delirium
Drug-induced delirium
Non-pharmacologic management of delirium
Pharmacologic
Delirium in the ICU ... delirium Reversible causes ... theABofPharmaC #ICU ... #management #criticalcare ... #diagnosis
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
↑ sIL-2R >2400 Ul ... Drugs, Unknown cause ... Treatment: • ... of emergency, ICU ... #management #treatment
Hantavirus
Pathogen: Hantavirus - Rodents are the primary reservoir
Transmission:
 • Shed in the urine, feces, saliva of
common route of infection ... +/- diarrhea Diagnosis ... • Autopsy PCR Treatment ... • Supportive: ICU ... #management #treatment
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
Sepsis - Diagnosis ... organ dysfunction caused ... host response to infection ... recognition and treatment ... #SIRS #criticalcare
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Agitation Sedation Scale ... No pharmacologic ... (Haldol) - No pharmacologic ... #CriticalCare # ... diagnosis #management
Hordeolum vs Chalazion

Hordeolum (Stye):
 • Location: Most commonly found at or near an eyelash follicle
 •
eyelash follicle • Cause ... : Bacterial infection ... upper lid • Cause ... #Clinical #Diagnosis ... #Management #Ophthalmology
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 ... Wuhan Virus") • Infection ... unilateral* • POCUS ... #Management #Summary ... #Coronavirus #CriticalCare
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
polymicrobial infection ... • Most common cause ... antibiotics once stable ... shows a small, stable ... #management #treatment
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
- Differential Diagnosis ... and Management ... Statins), ETOH Infection ... per day until stable ... #causes #treatment
Heparin Induced Thrombocytopenia (HIT) - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Plts ↓50% (nadir
skin necrosis (at injection ... Factors: • SICU ... > MICU, ♀, ↑Age ... hypercoagulable state ... #Management #Treatment