PGY 39, Day #150
This was a moderately busy week in the ICU. As usual, the tug of the "holiday vortex" and the "game vortex" made it more difficult to get things accomplished. But, let us not dwell on skeleton crews and limited surge capacity. We got the job done, and I am now, again,recovering from lack of sleep for a few days.
Topics discussed on ICU rounds this week included:
1. If you don't know what you are doing, STOP & ask for help.
2. If you don't know what you are talking about, STOP your mouth & ask for help.
3. If you don't know your limits you are dangerous.
4. When dealing with families on matters of life and death, always err on the side of life. "When you put the right things on the menu, patients and families are more likely to make the right choices." You can quote me on that!
5. Hypotension and Shock: Diagnosis and Treatment
6. Supraventricular Tachycardia management in the critically ill patient
7. Traumatic Intraparenchymal Hemorrhage
8. Acute Respiratory Failure from upper airway obstruction: Diagnosis and Treatment
9. Intractable Seizures: Diagnosis and Treatment
10. Brain Protection Strategies and Targets
11. Subarachnoid hemorrhage: Diagnosis,classification, prognosis, Hunt & Hess, HHH Rx
12. Criteria for Nosocomial Pneumonia & Diagnosis of Pneumonia in General
13. Thorazine for fever
14. Breathing & Circulation: Oxygen Content, Oxygen Delivery, Oxygen Consumption, CO2 Production, CO2 Clearance. "Oxygen is overrated & Perfusion is underrated: The importance of perfusion in critical care" you can quote me on that one too.
15. Acute Respiratory Failure: Diagnosis, Treatment, Non invasive therapies, invasive therapies, endotracheal intubation, sedation, analgesia, neuromuscular junction blockade, initial ventilator settings.
Please contact me if you have any questions.
Enjoy!
Dr. Mike
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