Critical Care Compendium CCC

The LITFL Critical Care Compendium is a comprehensive collection of pages concisely covering the core topics and controversies of critical care.

Coronavirus disease 2019 (COVID-19)

by Dr Gregory Brogan, Dr Neil Campbell, Dr Matthew Durie and Dr Chris Nickson, last update April 7, 2020

Overview of COVID-19, including assessment and management, from an Australia and New Zealand critical care perspective.

Checklist: Suspected COVID 19 intubation

by Michael A. Gibbs, MD, last update April 1, 2020

Today I had the opportunity to review a very nicely created Peri-intubation Action Card that was put together in short order by two anesthesiologists from Scope Anesthesia – Dr. Janish Patel and Dr. Kimberly Blasius.

COVID-19 a 3-step approach to intubation

by Michael A. Gibbs, MD, last update March 23, 2020

Pragmatic Recommendations for Intubating Critically Ill Patients with Suspected COVID-19. Journal of the American College of Emergency Physicians Open.

Medmastery: bicarbonate loss and acid overload

by Sabrine Elkhodr, last update October 18, 2019

Franz Wiesbauer explains how to differentiate between metabolic acidaemia caused by a loss of bicarbonate and that caused by the addition of acid.

Medmastery: compensation

by Sabrine Elkhodr, last update September 19, 2019

Franz Wiesbauer looks at acid-base compensation and some super-simple rules that will help you decide whether compensation is adequate or not.

Medmastery: acid-base disorders

by Sabrine Elkhodr, last update September 19, 2019

Franz Wiesbauer explains the relationship between pH, HCO3 and pCO2 and a simple rule which will help you decide whether the primary problem is respiratory or metabolic in nature.

A Most Discombobulating Gas

by Dr Michelle Johnston, last update September 14, 2019

Are you discombobulated by this blood gas? It will lead you down an unexpected path…

Alcohol Toxidrome

by Dr Chris Nickson, last update August 22, 2019

AGENTS ethanol methanol ethylene glycol isopropyl alcohol others! CLINICAL FEATURES euphoria disinhibition stupour respiratory depression cardiovascular depression coma ocular toxicity = methanol hypocalcemia + renal failure = ethylene glycol haemorrhagic gastriyis = isopropyl alcohol INVESTIGATIONS ethanol level (> 400mg/dL -> coma and respiratory depression) ethylene glycol level (severe lactic acidosis) high osmolar gap then HAGMA […]