21 results
Rich Levitan teaches the VAPORS pneumonic: a quick run-through of the main issues to sort prior
run-through of the main ... issues to sort ... from Scotland #Management ... #CriticalCare #
Mechanisms of Pain
Mixed - Nociceptive/Neuropathic
Nociceptive - Tissue Damage
 - Visceral - (From organ/cavity lining) Poorly localized,
Mechanisms of Pain ... Well-localized, sharp, short ... Complex regional pain ... syndrome - Deafferentation ... #Mechanisms #Neurology
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Guillain-Barre Syndrome ... • Weakness: Starts ... Hands or feet • Pain ... #diagnosis #management ... #treatment #neurology
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 #
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... abdominal compartment syndrome ... Pain control - ... gram Q6hr) and pain-dose ... #CriticalCare
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
The venturi valves ... have two one-way valves ... the exhalation ports ... Delivery #Devices #management ... #pulmonary #criticalcare
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
In short, best outcomes ... #Management #Neurology ... #CriticalCare #
Ear Pain (Otalgia) - Differential Diagnosis Framework

Primary Otalgia 
 - Pain that originates from the ear
- Ramsay Hunt syndrome ... Temporomandibular joint syndrome ... Nerve V: • TMJ syndrome ... Glossopharyngeal neuromas Vagus ... vision or black spots
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Total scores >2 ... the ICU due to short ... Propofol infusion syndrome ... Delirium #PAD #ICU #CriticalCare ... #diagnosis #management
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Ischemia, Compartment Syndrome ... Demand: Stress / Pain ... testing • Seen in Short ... Bowel Syndrome, ... Differential #Diagnosis #criticalcare