Tess Boeker @tesspacito on GrepMed

ABC's of POCUS Forming the platform for my CCS2018 talk, ‘POCUS on ITU’! My infographic on the ABC’s of POCUS! Jonny Wilkinson @Wilkinsonjonny #Diagnosis #CriticalCare #POCUS #ABCs #ABCDEs #clinical #ultrasound

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General Bacterial Antibiogram - Antibiotics and Spectrum of Coverage Make sure you consult your local antibiogram! VRE - MRSA - GRAM POSITIVES - GRAM NEGATIVES - PSEUDOMONAS - ANAEROBES - ATYPICALS - ANAEROBES - ATYPICALS - penicillin, amoxicillin/ampicillin, amox-clav/amp-sulbactam, methicillin/oxacillin, piperacilin-tazobactam/ticarcillin-clavulanate - 1st gen cephalosporins, 2nd gen cephalosporins (cefoxitin,cefotetan), 3rd gen cephalosporins, 4th gen cephalosporins (cefepime), (ceftazidime), 5th gen cephalosporins (ceftaroline) - carbapenems, aztreonam - ceftaz-avi, ceftolozane-tazo, mero-vabor / imi-relee, cefiderocol - TMP-SMX - clindamycin - vancomycin / oritavancin / dalbavancin - daptomycin, linezolid / tedizolid - tetracyclines (doxycycline) - tigecycline / eravacycline / omadacycline - lefamulin - macrolides - quinolones (delafloxacin, moxifloxacin) - aminoglycosides - fosfomycin - colistin / polymyxin B - metronidazole Dr. Jen Fulcher @FulchJen #Antibiogram #Antibiotics #Classes #Bacterial #Spectrum #Coverage #Susceptibility #Susceptibilities #Pharmacology #Microbiology #sensitivities

3D-CAM Assessment for Delirium Feature 1: Acute Change / Fluctuating Course • Assessment questions: Self report of confusion OR disorientation OR hallucinations • Observed fluctuations in: consciousness OR attention OR speech Feature 2: Inattention • Assessment questions incorrect: Digit Span 3 backwards OR 4 backwards OR days of week backwards OR months of year backwards • Observed: Trouble keeping track of interview or inappropriately distracted Feature 3: Disorganized Thinking • Assessment questions incorrect: Orientation to year, day of week, type of place • Observed: Flow of ideas unclear/illogical, conversation rambling/off target or abnormally sparse Feature 4: Altered Level of Consciousness • Observed: Patient sleepy, stuporous, comatose and/or hypervigilant #3DCAM #Confusion #Assessment #Method #Delirium #diagnosis

REBEL Review 100: Canadian Syncope Risk Score Predisposition to Vasovagal Symptoms (-1) History of Heart Disease (1) Any SBP <90 or >180 mmHg (2) Elevated Troponin (>99% of Normal) (2) Abnormal QRS Axis (<-30 or >100) (1) QRS Duration 130 ms (1) Corrected QT Interval > 480 ms (2) Vasovagal Syncope (-2) Cardiac Syncope (2) via Mark Ramzy, DO #Canadian #Syncope #Risk #Score #stratification #diagnosis

Pertinent Chest x-ray Findings in the Trauma Patient and Implications Respiratory distress without x-ray findings - Central nervous system (CNS) injury, aspiration, traumatic asphyxia Any rib fracture - Pneumothorax, pulmonary contusion Fracture of first three ribs or sternoclavicular fracture-dislocation - Airway or great vessel injury Fracture of lower ribs 9 to 12 - Abdominal injury Two or more rib fractures in two or more places - Flail chest, pulmonary contusion Scapular fracture - Great vessel injury, pulmonary contusion, brachial plexus injury Mediastinal widening - Great vessel injury, sternal fracture, thoracic spine injury Persistent large pneumothorax or air leak after chest tube insertion - Bronchial tear Mediastinal air - Esophageal disruption, tracheal injury, pneumoperitoneum Gastrointestinal (GI) gas pattern in the chest (loculated air) - Diaphragmatic rupture NG tube in the chest - Diaphragmatic rupture or ruptured esophagus Air fluid level in the chest - Hemopneumothorax or diaphragmatic rupture Disrupted diaphragm - Abdominal visceral injury Free air under the diaphragm - Ruptured hollow abdominal viscus #cxr #chestxray #trauma #diagnosis #signs #radiology