An intensivist's onepager on COVID19
Hyponatremia is common in critical care units. Avoidance of neurologic injury requires a clear understanding of why the serum sodium (Na) concentration falls and why it rises, how the brain responds to a changing serum Na concentration, and what the goals of therapy should be. A 4 to 6 mEq/L increase in serum Na concentration is sufficient to treat life-threatening cerebral edema caused by.
ICU One Pager
Description. Enteral Nutrition - ICU One Pager โข When to start enteral feeds โข When NOT to start enteral feeds โข Enteric feed formulas โข Calculating Caloric Needs โข Gastric Residuals โข Feeding Tubes: Nasal, Gastric, Post-pyloric, Jejunal by Nick Mark MD @nickmmark #Enteral #Nutrition #criticalcare #icu #pharmacology #diagnosis #.
ICU One Pager
Rapidly determining the etiology of shock is a core ICU skill, requiring integration of physiology, history, exam, and POCUS. This ICU OnePager provides a framework for thinking about shock that you can use to categorize it.. Critical care education one page at a time. Simple, free, & open source. Nick Mark's OnePager guides to critical.
Fluid Responsiveness could this hemodynamically unstable patient
complex ICU patients" is not supported by our study's ๏ฌndings or other published data.2-4 In the manuscript, we described the observed mortality for patients on each service across the spectrum of expected mortality. Even among patients with expected in-hospital mortality > 90%, outcomes on the ACNP and resident teams were comparable.
ARDS โ ICU One Pager
A cardiac index which may be adequate for one patient will leave another patient in cardiogenic shock. 3) PA catheterization tends to encourage fluid management based on static filling pressures.. Being an essay on nonsense and common sense in the ICU, after the manner of Lewis Carroll. Chest. 1995 Oct;108(4):1129-39. doi: 10.1378/chest.108..
ICU One Pager
Check the. DRAINAGE area of the chest drain. โข Generally, it is reasonable to remove a chest tube if the output is <200 ml/day. to clear obstructions. Tidaling indicates that the chest drain is within the pleura and transducing the pleural pressures. Look for movement of the indicator ball in the chest drain.
ICU One Pager
With ICU capacity depleted, patients with serious COVID-19 cases may take up open beds in the emergency department, said Fresno County emergency medical services director Dan Lynch.
ICU One Pager
Lobar collapse is common in intubated ICU patients. Here is a an ICU One Pager on identifying which lobe is collapsed using just a CXR. Bonus: Teaches you how to get the most out of the PA and lateral too. Current version v1.0 (2020-03-19) Download PDF Download PNG View fullsize.
Alcohol Withdrawal Syndromes (AWS) โ ICU One Pager
This OnePager outlines a stepwise approach and differential diagnosis for each acid base abnormality ( RAGES for NAGMA, GOLDMARKeT for AGMA, BLVD PLACE for metabolic acidosis, etc). It also includes those handy formulas & rules so you can figure out if more than acid-base disturbance is present. Source: ICU One Pager. Jun 10, 2022. Download.
Alcohol Withdrawal Syndromes (AWS) โ ICU One Pager
Here's a #OnePager summarizing my approach to pressors including when to start, which ones to use, how to administer them, and when to increase or wean. Includes my favorite pedagogical device for vasopressor: the pressor-speedometer from beta to alpha adrenergic effects.. Current version 1.2 (updated 2021-02-23).
Pulmonary Embolism โ ICU One Pager
The availability of intensive care beds in Southern California and the Central Valley hit alarming new lows as hospitals continued to see a surge of COVID-19 patients that shows no signs of slowing.
Neuromuscular Blockers, EEG, Bispectral Index, and Train of Four
To keep this page small and fast, questions & discussion about this post can be found on another page here. #1 most common mistake = overdiagnosis of hypertensive emergency among patients with scary high Bp but no target organ damage. This isn't a hypertensive emergency, please don't call the ICU for this. Thanks in advance.
Left Ventricular Assist Devices (LVAD) โ ICU One Pager
Today I link to the awesome blog from intensivist Dr Nick Mark's ICU one pagers.Dr. Mark has constructed outstanding Infographics on critical care topics. Note to myself: To see a list of all of Dr. Mark's one pagers on my blog, just go to the categories list and click ICU one pagers.
Avid One Pager Checklist Clipart
Select One page ICU charts. Non-invasive positive pressure ventilation. #criticalCare #ventilation #ICUequipment #oxygenation #waveforms . Non-invasive positive pressure ventilation (NIPPV) is a valuable technique to support oxygenation and ventilation in people with respiratory failure to potentially avoid intubation.
Overview of Ventilator Modes
Here's an ICU #OnePager with an overview of the most common modes (Volume Control Pressure Control, PRVC, SIMV, PS, etc) including pros and cons for each and an overview of the parameters you need to set. This #OnePager also defines some important concepts like Trigger, Cycle, and Limit. Current version 1.0 (2020-04-03).
Mask O2 Delivery โ ICU One Pager
One example of an analgesic ladder for critically ill patients is shown below. However, there is no one-size-fits-all solution to analgesia in the ICU. For example, patients with neuropathic pain may benefit from up-front initiation of a gabapentinoid, whereas most other patients probably won't. additional measures that should be considered: