Category CCC

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

CCC Critical Care compendium 340

Alcohol Toxidrome

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 ->…

Ultrasound LIBRARY 340 1

Airway ultrasound the oesophagus

Transverse views of the lower anterior neck. The aim is to visualise the trachea and oesophagus, so that during tracheal intubation, inadvertent oesophageal intubation may be identified and immediately corrected.

TOP-100-ECG-QUIZ-340

ECG Case 096

29 yr old male presents complaining of vomiting, dizziness and felling 'vague'. Describe and interpret this ECG. LITFL Top 100 ECG

ICE -Ian’s clinical emergencies 340

ICE008: ABG Puzzler

A femoral arterial blood gas sample is obtained from a 41 year old man...obtained when the barometric pressure was 272mmHg and the PiO2 47mmHg

ICE -Ian’s clinical emergencies 340

ICE 007: Abdominal pain investigations

A 57 year old man presents to the ED with 18 hours of severe upper abdominal pain, fever, nausea and vomiting. He looks jaundiced, his HR is 120bpm, BP 110/60, RR 22 and his temperature is 37.8oC. He is tender and guarded in his right upper quadrant on abdominal palpation.

Toxicology-Library-Tox-library-LITFL 340

Acid base disorders and Osmolar Gaps

This is quick reference page to acid base disorders in toxicology and osmolar gaps. Zeff a toxicologist from Melbourne talks through his approach and the errors that can occur with osmolar and anion gaps.

TOP-100-ECG-QUIZ-340

ECG Case 074

97 year old gentleman found unconscious at home. Brought into emergency by ambulance at 10am having last been seen at 8pm the evening before.

CCC Critical Care compendium 340

Antidotes Summary

Antidotes are agents that counteract the effects of a toxic agent on the body. They do not primarily affect the systemic absorption or removal of toxic agents from the body (i.e. decontamination and enhanced elimination respectively)

Everything ECMO

Everything ECMO

In specialist centres, extracorporeal membrane oxygenation (ECMO) is a now a mainstay of the management of cardio/respiratory failure refractory to other measures. However, much of the clinical information required to care for ECMO patients at the bedside remains inaccessible to…

CCC Critical Care compendium 340

Euboxia and (Ab)Normality

WHAT IS EUBOXIA? ‘Euboxia‘ is the pathophysiological state whereby ‘all boxes on a pathology print-out are in the normal range’ (Reade, 2009). LITFL — Don’t put your patient in a box Reade MC (2009). Should we question if something works…