In the general adult population, the causes of disruptions of arterial flow can be separated into three major categories based on cause: large vessel atherothrombotic disease (small vessel (lacunar) infarction,…
FIGURE 96.1 Example of standard 7.5-French 40-mL intra-aortic balloon pulsation. It is also important to select the appropriate-sized balloon pump for the patient. Balloon pumps are manufactured in various sizes,…
FIGURE 150.1 Wretland timeline of critical care and nutrition. AA, amino acids; LCT, long-chain triglyceride; PN, parenteral nutrition; TPN, total parenteral nutrition; MCT, medium-chain triglyceride; GLN-ALA, glutamine–alanine; PUFA, polyunsaturated fatty…
Determine the Genus and Species Determine the family and/or genus and species of snake if at all possible. The majority of victims know not only that they were in proximity…
TABLE 68.1B Staging and Management of Accidental Hypothermia TABLE 68.2 Causes of Hypothermia Clinical Syndromes Cardiovascular A sympathetic response increases myocardial oxygen consumption and causes tachycardia and peripheral vasoconstriction—that is,…
EPIDEMIOLOGY In a recent systematic review of 312 studies including 49 million patients, the syndrome of AKI (according to KDIGO definition) was found to affect 1 in 5 adults and…
Acetaminophen Poisoning Acetaminophen is estimated to be responsible for 51% of all cases of acute liver failure in the United States (6). Acetaminophen ingestions require ICU admission when hepatotoxicity is…
FIGURE 126.1 General approach to lower gastrointestinal bleeding. GI, gastrointestinal; CVP, central venous pressure; BP, blood pressure; ECG, electrocardiogram; Pt, patient; CAD, coronary artery disease; Hb, hemoglobin; PT, prothrombin time;…
The rib cage undergoes structural changes during pregnancy (18). Progressive relaxation of the ligamentous attachments of the ribs causes the subcostal angle of the rib cage to increase early in…
Nitrous oxide equilibration with the vessel-rich group occurs within 5 to 15 minutes from the beginning of induction. The muscle group equilibrates within approximately 1 hour, and the vessel-poor group…
