Floppy infant DDx
Floppy infants have globally decreased muscle tone, but can be either 'weak' or 'strong' corresponding to lower or upper motor neuron lesions respectively.
Category CCC
The LITFL Critical Care Compendium is a comprehensive collection of pages concisely covering the core topics and controversies of critical care.
Intracranial Structures and Contrast
Intracranial Structures That Exhibit Contrast Enhancement. CT Head with contrast is usually performed to identify mass lesions or vascular abnormalities.
Exophthalmos DDx
Exophthalmos is abnormal protrusion of the eyeball or eyeballs. Differential diagnosis
Eye Trauma DDx
Differential diagnosis of eye trauma. Trauma can result in a range of injuries, both blunt and penetrating.
Transpulmonary pressure (TPP)
Transpulmonary pressure (TPP) is the net distending pressure applied to the lung by contraction of the inspiratory muscles or by positive-pressure ventilation
Patient-Ventilator Dyssynchrony
OVERVIEWPatient-Ventilator Dyssynchrony occurs when the patient’s demands are not met by the ventilator, resulting from problems with: VENTILATION STRATEGIES Total Ventilator-controlled Mechanical Support: Partial Patient-Controlled Mechanical Support: CAUSES Patient factors Ventilator factors TYPES OF VENTILATOR DYSSYNCHRONY Ineffective triggering Inappropriate triggering…
De-escalation
De-escalation: Determine if safe for medical intervention. Determine cause - usually delirium with an underlying medical cause, substance abuse or withdrawal or psychiatric disorders
Physical Restraint
Reviewed and revised 30 July 2014 OVERVIEW INDICATIONS CONTRA-INDICATIONS ASSESSMENT APPROACH TO PHYSICAL RESTRAINT Exclude other therapeutic options first Ensure safety at all times Prepare physical restraint team Initiate manual restraint During manual restraint Monitoring (according to depth of sedation) may…
Digital Rectal Exam (DRE) in Trauma
Traditional ATLS teaching was that a digital rectal exam (DRE) is mandatory in trauma patients: “a finger or tube in every orifice”. This is no longer the case.
Damage Control Resuscitation
Damage control resuscitation (DCR) is a systematic approach to the management of the trauma patient with severe injuries that starts in the emergency room and continues through the operating room and the intensive care unit (ICU). DCR involves haemostatic resuscitation, permissive hypotension (where appropriate) and damage control surgery
Major Haemorrhage in Trauma
Major Haemorrhage in Trauma
Kidney trauma
Most genitourinary injuries are not immediately life-threatening. Renal pedicle injury can lead to life-threatening hemorrhage and renal ischemia