Temperature-Related Injuries

Feb 26, 2020 by in CRITICAL CARE Comments Off on Temperature-Related Injuries

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,…

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Acute Renal Injury

Feb 26, 2020 by in CRITICAL CARE Comments Off on Acute Renal Injury

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…

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Toxicology

Feb 26, 2020 by in CRITICAL CARE Comments Off on Toxicology

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…

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Lower Gastrointestinal Bleeding

Feb 26, 2020 by in CRITICAL CARE Comments Off on Lower Gastrointestinal Bleeding

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;…

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The Obstetric Patient

Feb 26, 2020 by in CRITICAL CARE Comments Off on The Obstetric Patient

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…

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Upper Gastrointestinal Bleeding

Feb 26, 2020 by in CRITICAL CARE Comments Off on Upper Gastrointestinal Bleeding

FIGURE 125.1 Peptic ulcer disease. Endoscopic view of a gastric ulcer with a visible vessel (arrow) before (A) and after (B) endoscopic intervention with gold probe cautery. FIGURE 125.2 Severe…

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2 Respiratory Infections

Feb 26, 2020 by in CRITICAL CARE Comments Off on 2 Respiratory Infections

Emergence of CA-MRSA with cases of rapidly progressive necrotizing pneumonia, often in previously healthy adults and children, is a new challenge for proper empiric antibiotic choices (24). The further introduction…

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Chest Pain and Acute Coronary Syndrome: Non–ST-Elevation Acute Coronary Syndrome and ST-Elevation Myocardial Infarction

Feb 26, 2020 by in CRITICAL CARE Comments Off on Chest Pain and Acute Coronary Syndrome: Non–ST-Elevation Acute Coronary Syndrome and ST-Elevation Myocardial Infarction

FIGURE 94.1 Initiation, progression, and complication of human coronary atherosclerotic plaque. Coronary artery spasm, which is a sudden, intense vasoconstriction of an epicardial coronary artery causing vessel occlusion or near…

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Hyperbaric Oxygen and Critical Care

Feb 26, 2020 by in CRITICAL CARE Comments Off on Hyperbaric Oxygen and Critical Care

where Hb is hemoglobin concentration (g/dL), SaO2 is arterial Hb–O2 saturation, and PaO2 is arterial oxygen tension. The second term of Equation (1) represents the dissolved oxygen proportion, which under…

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