32 results
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
goal-directed stepwise management ... 2) Subsequent ICU ... #CriticalCare # ... Peds #Pediatrics ... #Sepsis #Management
Acute Purpura Fulminans Skin Rash on Physical Exam 
60 year old male ITP s/p splenectomy 
1d
Fulminans Skin Rash ... rigors, diarrhea, nausea ... Admitted to ICU ... in multipressor shock ... Final dx: Septic shock
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
Pediatric SVT - Management ... Maneuvers - Ice ... Signs of shock or ... #tachycardia #Management ... #Algorithm #peds
Initial assessment and management of coma in pediatric population.

Airway - is it secure? 
Breathing — is
assessment and management ... Circulation - treat shock ... meningococcal purpuric rash ... Coma #Pediatrics #Peds ... #ABCs #CriticalCare
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... common in OR; in MICU ... in refractory shock ... Vasopressors #Inotropes #management ... #criticalcare #
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
organ dysfunction caused ... infection SEPTIC SHOCK ... Patients w/ septic shock ... #QSOFA #SIRS #criticalcare ... #icu
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Rapid Response Management ... Examine for a cause ... #Hypotension #Management ... #criticalcare # ... Shock
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
RISK FACTORS - ICU ... Sedation titration (RASS ... PICS #diagnosis #management ... #criticalcare # ... icu
Childhood Immunization Schedule: Why we immunize
 • Diphtheria Toxin -> URT inflammation causes pseudomembrane with hardened
URT inflammation causes ... & hemorrhagic rash ... ; symptoms of shock ... Vesicular & pruritic rash ... #Immunization #peds
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
class (30-day all cause ... Transient Hypotension, Shock ... prognostication #diagnosis #management ... stratification #criticalcare