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WebSYSTEMS Cardiology Endocrinology Gastroenterology Hematology & Oncology Infectious diseases Nephrology Neurology Obstetrics Pulmonology …

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Massive Transfusion Protocol (MTP)

Webconcept of a massive transfusion protocol (MTP) Patients with severe hemorrhage may develop refractory hemorrhage due to a collection of factors: Dilution of …

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Metabolic alkalosis

WebMetabolic alkalosis may be diagnosed in two situations ( red arrows above): (1) If the serum bicarbonate is elevated (>28 mM), this alone reveals a metabolic …

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Acute Pancreatitis (including hypertriglyceridemic

Webdiagnostic criteria for acute pancreatitis. At least two of the following are required: (1) Elevation of lipase >3 times upper limit normal (i.e., >~750 U/L). (2) Clinical …

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Hospital-Acquired Pneumonia (HAP)

Webdefinition of hospital-acquired pneumonia (HAP) HAP requires the following components: (1) Pneumonia that develops after >48 hours in the hospital (early-onset …

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Anion-gap metabolic acidosis

WebAnion gap is calculated as (Na – Cl – Bicarb). Nothing fancy, no corrections for anything (glucose, albumin, potassium, etc.). More discussion of the anion gap in the …

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Methemoglobinemia

WebMethemoglobinemia typically causes the pulse oximeter to report a saturation of ~82-86% (even if the PaO2 is very high). In a hospital, this will be interpreted as …

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Severe community-acquired pneumonia

Webdefinition of community acquired pneumonia (CAP) Community-acquired pneumonia refers to a pneumonia which begins when the patient is outside the hospital, …

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Hypothermia for Cardiac Arrest

WebHypothermia for Cardiac Arrest Stephan A Mayer, MD Associate Professor of Clinical Neurology and Neurological Surgery Critical Care Neurology, Division Head

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Unfractionated heparin (UFH), LMWH, fondaparinux, argatroban, …

WebUnfractionated heparin (UFH) binds to antithrombin III (AT-III), which enhances antithrombin's inhibition of several coagulation factors – especially factor Xa …

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Acute Disseminated Intravascular Coagulation (DIC)

WebAcute DIC results from an acute trigger of coagulation (e.g., sepsis or trauma). This leads to abrupt and exuberant depletion of coagulation factors, leading to …

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PulmCrit: Neutrophil-Lymphocyte Ratio (NLR): Free upgrade to …

WebNeutrophil-to-lymphocyte ratio (NLR) is easily calculated from the differential cell count. As such, it's immediately available (for free) upon admission in all of your …

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Refeeding Syndrome

Webbasics. (back to contents) Refeeding syndrome is a potentially fatal complication which generally occurs within 24-72 hours after starting nutrition (although it …

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PulmCrit- Tranexamic acid for traumatic brain injury (CRASH3)

WebCRASH-3 design. CRASH-3 was designed to further investigate using tranexamic acid for patients with traumatic brain injury. This study utilized the following …

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Note: This article deals with the critically ill trauma patient; …

WebUsing MAP avoids the deception of a seemingly normal systolic blood pressure. A patient with a BP of 80/60 (MAP=66) is actually perfusing their organs better …

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PulmCrit- The Rothman Index: Artificial intelligence or merely a

WebThis principle was illustrated by the above article comparing various decision instruments versus clinician judgement. 1 Decision instruments generally perform well as …

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Errors of commission vs. errors of omission

Web0. The commission-omission equation is a way to balance errors of omission vs. errors of commission, a calculation which we perform subconsciously. For patients …

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P All intubated patients in our ED I Does measuring/adjusting

WebJournal Club 7/31/06 Tom. Cleary, MD P All intubated patients in our ED I Does measuring/adjusting endotracheal cuff pressure with a manometer C vs. standard …

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