Substrate Metabolism – Rest versus Stress
Rest = basal metabolic rate + minimal exercise. Major stress = 50% burn. The body's goal is to preserve plasma glucose levels for brain metabolism.
Category CCC
The LITFL Critical Care Compendium is a comprehensive collection of pages concisely covering the core topics and controversies of critical care.
Bispectral Index (BIS) Monitoring
Bispectral Index (BIS) Monitoring: BIS monitor was developed by Aspect Medical Systems; BIS = bispectral index; other 'depth of anaesthesia' monitors exist (e.g. Entropy)
Hyperbaric oxygen for carbon monoxide poisoning
Reviewed and revised 27 December 2013 OVERVIEW MECHANISM OF CARBON MONOXIDE TOXICITY Effects of CO toxicity include those of acute hypoxia as well as delayed neurological sequelae, that are more prominent with chronic exposure RATIONALE FOR HYPERBARIC OXYGEN THERAPY CO…
Isoniazid toxicity
Isoniazid toxicity, like other hydrazines, primarily cause life-threatening seizures and lactic acidosis through depletion of vitamin B6. The antidote is pyridoxine
Acute Paracetamol Toxicity
Acute Paracetamol Toxicity: following overdose glucuronidation and sulphation pathways are rapidly saturated -> increased metabolism to NAPQI (N-acetyl-P-benzoquineimine); glutathione is required to inactivate NAPQI and when levels depleted -> hepatocellular death takes place
Liver Failure in Toxicology
Liver Failure in Toxicology common agents: paracetamol; iron; idiosyncratic; illicit and herbal; alcohol
MRI Head
MRI Head: T2 (transverse relaxation time constant) = water/CSF is white. T1 (longitudinal relaxation time constant) = water/CSF is black
Chest X-ray
Chest X-ray interpretation
CK-MB
CK-MB: creatine kinase dimer of M and B chains; found mainly in myocardial cytosol (also in skeletal muscle); one of three isoenzymes of creatine kinase (CK)
- creatine kinase dimer of M and B chains
- found mainly in myocardial cytosol (also in skeletal muscle)
- one of three isoenzymes of creatine kinase (CK)
CRP
CRP = C-reactive protein OVERVIEW discovered in 1930 by studying Streptococcus pneumoniae infection -> named for its ability to bind to the somatic C-polysaccharide of such bacterial belongs to the family of pentraxins (calcium dependent ligand-binding plasma proteins) Normal range…
CSF analysis
Cerebrospinal fluid (CSF) is a clear, colorless body fluid found in the brain and spinal cord.
CT Chest
CT Chest: contrast used to highlight mediastinal structures; entire thorax imaged with no skip areas; slices are 5-10mm thick