Pediatric Anaphylaxis
Pediatric Anaphylaxis overview
Category CCC
The LITFL Critical Care Compendium is a comprehensive collection of pages concisely covering the core topics and controversies of critical care.
Long-term cognitive impairment in Critical Illness
Critical illness is associated with a spectrum of neurological failure (largely under-reported), including polyneuropathy, encephalopathy and long-term cognitive impairment after critical illness (LTCI-CI)
Septic encephalopathy
Septic encephalopathy is brain dysfunction mediated by the septic inflammatory response, independent of other co-existent causes such as liver or renal dysfunction
Urine Electrolytes
Urinary anion gap (UAG): Differentiate renal or GIT cause of HYPERchloraemic metabolic disorders; or Normal anion gap metabolic acidosis (NAGMA)
Own the ECMO!
Intensive Care Network and Dr Hergen Buescher present 3 videos on 'owning the ECMO'!
Transjugular Intrahepatic Portosystemic Shunt
Transjugular Intrahepatic Portosystemic Shunt Procedure (TIPS) involves accessing the internal jugular vein and IVC to place a stent between the hepatic and portal veins using a needle
Beta-Blocker Overdose
Updated 2nd July 2024 OVERVIEW TOXICODYNAMICS TOXICOKINETICS RISK ASSESSMENT Onset Propanolol Patient factors General clinical features Propanolol (“sodium channel blocker masquerading as a beta blocker”) Sotalol MANAGEMENT Resuscitation Supportive care and monitoring Investigations Decontamination Enhance elimination Antidotes Disposition CONTROVERSIES References…
Carbon Monoxide Poisoning
Carbon monoxide (CO) is a colourless, odourless gas produced by incomplete combustion of carbonaceous material. CO poisoning may be acute or chronic
Adrenaline
Adrenaline (epinephrine); catecholamine; direct acting sympatheomimetic -> alpha & beta agonist; low doses -> beta-effects -> increase HR and Q; higher doses -> alpha-effects; maintains coronary & cerebral blood flow
Ideal Transport Monitor
Ideal Transport Monitor: most important monitor is clinical observation but parts of the clinical assessment (ie. auscultation) can be impossible.
Glasgow Coma Scale (GCS)
The GCS is a neurological scoring system used to assess conscious level after head injury
Teasdale and Jennet invented the GCS in 1974
Aeromedical Transport of the Critically Ill
Aeromedical Transport of the Critically Ill; risks of transport has to be weighted up against the benefit offered by facility