55 results
Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
Anxiety #Delirium #CriticalCare ... #Comparison #Management
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
• Chest pain, pericarditis ... gallop • Abnormal ECG ... cardiac death Management ... Myocarditis #Diagnosis #Management
Severe Asthma Algorithm - Management of Life-Threatening Asthma in the Emergency Department
Step One
1. Nebulized Albuterol
2. Nebulized
Asthma Algorithm - Management ... HCG, ECG if concern ... #Emergency #Management ... #CriticalCare #
Simplifying Mechanical Ventilation - Modes of Mechanical Ventilation - Comparison Table

You now know many modes whether
Ventilation - Comparison ... #Management #CriticalCare ... Variables #Breaths #Comparison
Vasopressors Demystified

Shock comes in many flavors and so do vasopressors. Here’s a OnePager summarizing my approach
Vasopressors #Basics #CriticalCare ... #Management #Pharmacology ... #Comparison #Inotropes
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Dobutamine 2-20 mcg ... Isoproterenol 2-10 mcg ... Epinephrine 0-20 mcg ... Pharmacology #Effect #Management ... #Comparison #Inotropes
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
, Constrictive pericarditis ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
if suspected (e.g ... • Aggressive management ... of infection (e.g ... Endocarditis #checklist #criticalcare ... #diagnosis #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... telemetry, 12-Lead EKG ... > Constrictive pericarditis ... Shock #Diagnosis #Management ... #Summary #criticalcare
Pressors and Inotropes

Norepinephrine
 • alpha1 > beta 1
 • Increase SVR > Inotropy
Vasopressin
 • V1
 •
Pressors #Inotropes #criticalcare ... #pharmacology #comparison ... #shock #management