Head Injury Patient Hot Case
Head Injury Patient Hot Case
Tag Hot Case
Transplant Patient Hot Case
GENERAL APPROACH Considerations Transplant – liver, heart, lung, heart-lung, bone marrow, renal, pancreatic Phase of care – immediate post op, sepsis, rejection, respiratory failure, renal failure Surgery – graft function, anatomy, anastomoses (leaks and occlusion) Infection – bacterial (early), opportunistic:…
Post Cardiac Surgery Patient Hot Case
GENERAL APPROACH Type of surgery Emergency or Elective Post-operative complications (bleeding, tamponade, graft occlusion, CVA) Shock assessment Causes and type of heart disease INTRODUCTION CUBICLE short or long term patient tracheostomy organ support INFUSIONS vasoactives haemostatic agents (tranexamic acid, blood…
Polyuria Hot Case
GENERAL APPROACH Causes Alcohol induced diuresis Osmotic diuresis (mannitol therapy) Cerebral salt wasting Diabetes insipidus Hypertonic saline administration Hypertensive diuresis Appropriate response to fluid therapy Hyperglycaemia Volume statusComplicationsTreatment INTRODUCTION CUBICLE INFUSIONS inotropes/vasopressors to maintain CPP IVF boluses hypertonic saline osmotherapies…
Long-Stay Patient Hot Case
Long-Stay Patient Hot Case
Jaundice Hot Case
GENERAL APPROACH Acute, Chronic or Acute on Chronic Liver Disease Pre Intra Post INTRODUCTION CUBICLE dialysis machine – evidence of multi-organ failure Level 1 infuser – significant bleeding malena INFUSIONS blood products octreotide 10% dextrose terlipressin VENTILATOR strategy (protective lung…
Coma Hot Case
Coma Hot Case
Injuries in Multi-Trauma Hot Case
Injuries in Multi-Trauma Hot Case
Hot Case General Approach
Hot Case General Approach
Fever Hot Case
GENERAL APPROACH Infectious community acquired nosocomial (surgical site, lines, chest, urine, sinusitis) ‘hidden’ sepsis (endocarditis, neuraxial infection, retroperitoneum, sinusitis) Non-infectious head injury VTE drug/toxin SIRS (post surgery, trauma, burns, ICH, aspiration, pancreatitis, CTD) Hypermetabolic syndromes (e.g. thyroid storm, NMS, MH, heat stroke, pheochromocytoma) INTRODUCTION…
Brain Death Hot Case
Brain death is the irreversible loss of all functions of the brain, including the brainstem. The three essential findings in brain death are coma (unresponsiveness), absence of brainstem reflexes, and apnoea
Extubation Assessment: Hot Case
Extubation Assessment: Hot Case. List reasons -> present clinical signs that prove reasons