the 5 minutes huddle*
You might have seen Dr. Haycock use the VNER index score to calculate for second dose vasopressor support. Here is the breakdown. Case report: An 85 YO female with a history of HF with preserved EF came in for respiratory distress with labile blood pressure resulting in the initiation of norepinephrine after a small bolus... Continue Reading →
Clinical Scenario: Hypertensive patient brought in by ambulance for hypertensive urgency. She's been coughing x 2 days with a recent diagnosis for pneumonia. BP 198/120, HR 130's, 10L 02 with a saturation of 92%. Hypoxia affects people with lung problems like pneumonia, edema, or atelectasis even more. These issues put extra stress on the lungs,... Continue Reading →
Alzheimer's disease and stroke are major health issues that often affect older adults, significantly reducing their quality of life. As people get older, the chances of developing these conditions rise, leading to problems with memory, thinking, and physical abilities. Unfortunately, with aging, stroke risk also increases. A few medications treating Alzheimer's disease have been linked... Continue Reading →
It was not easy to unpack the 26+ pages of the guidelines into a short and digestible short simplified highlights but here is my shot at on the adult guideline. Any feedback will be greatly appreciated. AHA guidelines, as updated in October 22, have been shaped significantly under the leadership of Dr. Ashish Panchal. This... Continue Reading →
When working with Dr. Haycock there is a big chance that we are going to be tracing CVP line and he is going to be interpreting them. He is an NBE CCE diplomat therefore a guru in resuscitation and everything ultrasound. CVP is the very basis for atrial pressure. Learning CVP is a window and... Continue Reading →
In soccer, a hat trick happens when one player scores three goals in a single game. Now, if we switch gears to the world of clinical sepsis therapy, HAT is like a dream team of intravenous treatments: hydrocortisone at 50 mg every 6 hours, ascorbic acid (vitamin C) at a whopping 1500 mg every 6... Continue Reading →
Delirium is a prevalent condition in critical care settings, yet it has historically been challenging to quantify or measure at a biological level. This article presents groundbreaking insights into biomarkers that hold great promise for the future of identifying and diagnosing delirium effectively. Here is a simplified summary from the full article. Delirium is a... Continue Reading →
Sudden cardiac arrest is a leading cause of death in industrialized nations, with over 700,000 annual fatalities in Europe and the USA, largely due to ventricular fibrillation (VF) or pulseless ventricular tachycardia. Despite repeated defibrillation attempts, many patients remain in shock refractory VF, and further attempts without method changes are often ineffective, leading to decreased... Continue Reading →
Courtesy of Critical RN skills | https://youtu.be/RWEVGgBZ9Sg?si=Efzd-NJOKOxSgOel | 2 person prime the system. All tubing system must remain sterile when connecting and flushing. image: Sterile flush, transducer, stopcock, and the EVD with drainage system. Connect primary stopcock to the system. Connect transducer to main system stopcock. MD will flush the system with sterile normal saline... Continue Reading →
What is the purpose of the scale? The Modified Rankin Scale (MRS) is a simple one-item rating scale to check how patients are doing after a stroke. It helps figure out how independent they are by looking at what they could do before the stroke instead of just how well they perform specific tasks now.... Continue Reading →
Code Team Pearls 