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 →
Under pressure, a CVP simplified tracing review
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 →
Scoring a HAT trick in Sepsis
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 →
Serum biomarkers of delirium
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 →
Double Sequential External Defibrillation
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 →
5 minutes EVD review and setup
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 →
The MRS for post stroke patient
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 →
Amyloid-related imaging abnormalities (ARIA)
Case study: Mr. J. is a 76 year old gentleman who came in with left sided weakness associated with dizziness and visual changes. He was recently started on an anti-amyloid therapies Lecanemab a few weeks back to help slow down his Alzheimer's disease progression. He is AO x 3 at baseline. He is currently a... Continue Reading →
Sepsis and the Andromeda shock trial
Perfusion, perfusion, perfusion- the name of the game. Ever wonder why we activate a rapid response for severe sepsis? What is severe sepsis? Yes, severe sepsis is when that infectious process has affected the body to go into an overdrive with a SYSTEMIC INFLAMMATORY RESPONSE SYNDROME and has now affected central organs with low perfusion.... Continue Reading →
RUHS mock code for documentation training
Here is four round of ACLS- get with the guideline following a shockable rhythm educational video I put together in September of 2023. The video is intended for epic real time documentation training. Please feel free to download the script provided below. Time stamp is provided on the right lower screen on the video. https://vimeo.com/896937090... Continue Reading →