Emcrit.org

Anion-gap metabolic acidosis

WEBAnion gap is calculated as (Na – Cl – Bicarb). Nothing fancy, no corrections for anything (glucose, albumin, potassium, etc.). More discussion of the anion gap in the …

Actived: 9 days ago

URL: https://emcrit.org/ibcc/agma/

Hospital-Acquired Pneumonia (HAP)

WEBdefinition of hospital-acquired pneumonia (HAP) (1) Pneumonia that develops after >48 hours in the hospital (early-onset pneumonias occurring <48 hours …

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Metabolic alkalosis

WEBMetabolic alkalosis may be diagnosed in two situations ( red arrows above): (1) If the serum bicarbonate is elevated (>28 mM), this alone reveals a metabolic …

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Severe community-acquired pneumonia

WEBdefinition of community acquired pneumonia (CAP) Community-acquired pneumonia refers to a pneumonia which begins when the patient is outside the hospital, …

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Errors of commission vs. errors of omission

WEB0. The commission-omission equation is a way to balance errors of omission vs. errors of commission, a calculation which we perform subconsciously. For patients …

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Acute Pancreatitis (including hypertriglyceridemic

WEBdiagnostic criteria for acute pancreatitis. At least two of the following are required: (1) Elevation of lipase >3 times upper limit normal (i.e., >~750 U/L). (2) Clinical …

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PulmCrit – Dismantling the systemic racism of pulse …

WEBAdditionally, clinicians are often aware that pulse oximetry is less accurate at very low saturation, so they are unlikely to make clinical decisions on the basis of a …

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Acute Disseminated Intravascular Coagulation (DIC)

WEBAcute DIC results from an acute trigger of coagulation (e.g., sepsis or trauma). This leads to abrupt and exuberant depletion of coagulation factors, leading to …

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Massive Transfusion Protocol (MTP)

WEBconcept of a massive transfusion protocol (MTP) Patients with severe hemorrhage may develop refractory hemorrhage due to a collection of factors: Dilution …

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Unfractionated heparin (UFH), LMWH, fondaparinux, argatroban, …

WEBUnfractionated heparin (UFH) binds to antithrombin III (AT-III), which enhances antithrombin's inhibition of several coagulation factors – especially factor Xa …

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PulmCrit- The Rothman Index: Artificial intelligence or merely a

WEBThis principle was illustrated by the above article comparing various decision instruments versus clinician judgement. 1 Decision instruments generally perform well …

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Severe influenza

WEBinfluenza pneumonia. Initial flu-like clinical syndrome occurs (e.g., fever, sore throat, cough, arthralgias, chills, headache, and sometimes diarrhea). This worsens with …

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EMCrit Wee – Sleep Part 1

WEBMike Stone, MD. Mike Mallin, MD. Dr. Mike Mallin is the co-founder and chief science officer at Wild Health, and he is responsible for concepting and building their …

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Thrombotic microangiopathies (including TTP, ST-HUS, and C-HUS)

WEBTTP: TTP causes acute kidney injury in 50% of patients, but this is generally mild. Mild or absent renal involvement would favor TTP. Substantial acute renal failure (creatinine >2 …

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A review of transfusion- and trauma-induced hypocalcemia: Is …

WEBHypocalcemia (iCa, <1.12 mmol/L) among those in the nontreatment group those who did not re-— ceive calcium concurrently with prehospital blood products was — 70% (166 of …

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December 1, 2009 Dear Cath Lab Director

WEBMs. Cozzens can be reached by telephone at 518-402-1016, by email at [email protected] or by mail at: Kimberly S. Cozzens, MA Cardiac Initiatives …

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PulmCrit- Furosemide failure: should we add metolazone, IV

WEBLet’s take a closer look at the right side of that panel, which shows the cumulative urine output over 48 hours. There is enormous variation in the urine output …

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PulmCrit- Fentanyl infusions for sedation: The opioid pendulum …

WEBAt the upper end of this range, a 70-kg patient would receive 700 mcg/hr fentanyl, equivalent to 3,360 mg of oxycodone daily. Fentanyl is typically infused at 50 …

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