TSICU:Main: Difference between revisions

Line 179: Line 179:
===Spinal Cord Injury===
===Spinal Cord Injury===
*[[Spinal cord syndromes]]
*[[Spinal cord syndromes]]
===Venous Thromboembolism===
*DVT
*PE
===Traumatic Brain injury===
*[[Glasgow Coma Scale]]
====[[Mild traumatic brain injury]]====
====[[Moderate-to-severe traumatic brain injury]]====
*[[Elevated intracranial pressure]]


===Hepatic & GI===
===Hepatic & GI===
====Liver Failure====
====Liver Failure====
====[[Abdominal compartment syndrome]]====
====[[Abdominal compartment syndrome]]====
===Pain, Agitation, Delirium, Immobility, and Sleep (PADIS)===
====[[Delirium]]====


===Nutrition Therapy including Stress Ulcer Prophylaxis===
===Nutrition Therapy including Stress Ulcer Prophylaxis===
Line 201: Line 188:


===Disseminated Intravascular Coagulopathy===
===Disseminated Intravascular Coagulopathy===
===Management of Hemorrhage in Patients on Antithrombotic Therapy===
 
===Neurologic Emergencies===
====[[Altered mental status]]====
====[[Seizure]]====
*[[Anticonvulsant levels and reloading]]
====[[Alcohol withdrawal seizures]]====
====[[CVA]]====
*[[NIH Stroke Scale]]
====Management of Hemorrhage in Patients on Antithrombotic Therapy====
*[[Anti-platelet agent reversal]]
*[[Anti-platelet agent reversal]]
*[[Anticoagulant reversal for life-threatening bleeds]]
*[[Anticoagulant reversal for life-threatening bleeds]]
===Pain, Agitation, Delirium, Immobility, and Sleep (PADIS)===
====[[Delirium]]====


===Endocrine Emergencies===
===Endocrine Emergencies===
Line 219: Line 217:
====[[Diabetes insipidus]]====
====[[Diabetes insipidus]]====


===Neurologic Emergencies===
===Venous Thromboembolism===
====[[Altered mental status]]====
*DVT
====[[Seizure]]====
*PE
*[[Anticonvulsant levels and reloading]]
===Traumatic Brain injury===
====[[Alcohol withdrawal seizures]]====
*[[Glasgow Coma Scale]]
====[[CVA]]====
====[[Mild traumatic brain injury]]====
*[[NIH Stroke Scale]]
====[[Moderate-to-severe traumatic brain injury]]====
*[[Elevated intracranial pressure]]


==Educational Resources==
==Educational Resources==

Revision as of 18:51, 20 June 2019

This is the main page for Harbor-UCLA Trauma SICU

Admin Updates

General Administrative

  • Morning Rounds
    • Roles and Responsibilities

Clinical Documentation

  • ICU Required Progress Note Details
  • Common Conditions
  • Hospital Acquired Pressure Injuries (HAPIs)
  • FAST HUGS BID
  • Code Status

SICU Order Sets

Schedule

Educational Conferences

Mandatory Call Criteria

Consult Services

Performance Improvement and Patient Safety

  • Safety Intelligence (SI)

Disaster & Surge Plan

Contact Information

Patient Care Management

General

Admission to the TSICU

Transfers & Downgrades

Tests & Orders

Labs

Point of Care

Diagnostic Imaging

  • Chest X-rays
  • Ultrasound
  • CT scan
  • MRI

Bedside Echocardiogram

EEG (including Ceribell)

Antibiotics

Equipment & Supplies

  • Line Carts
  • Ultrasound Machines
  • B-bay Supplies

Procedures

  • ASK NICE

Occupational Exposure

Referral to One Legacy

Death Packet Checklist

Core Clinical Conditions & Management

Shock

Assessment of Fluid Responsiveness in the ICU

Pulmonary

Initiating Mechanical ventilation (main)

Discontinuing Mechanical Ventilation

Noninvasive ventilation

Acute Respiratory Distress Syndrome

Renal

Acute kidney injury

Acid-base disorders

Electrolyte abnormalities

Rhabdomyolysis

Uremia

Renal Replacement Therapy

  • CVVHD
  • IHD

Sepsis & Septic Shock

Infections in the ICU and Appropriate Selection of Antibiotics

Post-operative fever

Ventilator Associated Event (VAE) formerly known as Ventilator associated pneumonia (VAP)

Catheter Associated Urinary Tract Infection

Central Line Associated Bloodstream Infection

Surgical Site Infections

  • Superficial
  • Deep
  • Organ Space

C- difficile Infection

Harbor:Infectious Disease Threats

Cardiovascular

Arrhythmias

Hypertensive Emergency

Nontraumatic thoracic aortic dissection

Acute limb ischemia

Spinal Cord Injury

Hepatic & GI

Liver Failure

Abdominal compartment syndrome

Nutrition Therapy including Stress Ulcer Prophylaxis

Refeeding syndrome

Disseminated Intravascular Coagulopathy

Neurologic Emergencies

Altered mental status

Seizure

Alcohol withdrawal seizures

CVA

Management of Hemorrhage in Patients on Antithrombotic Therapy

Pain, Agitation, Delirium, Immobility, and Sleep (PADIS)

Delirium

Endocrine Emergencies

Diabetic ketoacidosis

Nonketotic hyperglycemia

Hyperosmolar hyperglycemic state

Hypoglycemia=

Diabetes medications

Adrenal crisis

Pheochromocytoma

Thyroid storm

Myxedema coma

Hypothyroidism

Diabetes insipidus

Venous Thromboembolism

  • DVT
  • PE

Traumatic Brain injury

Mild traumatic brain injury

Moderate-to-severe traumatic brain injury

Educational Resources

Goals & Objectives - MS3/MS4

Goals & Objectives - PGY-1/PGY-2

Goals & Objectives - Fellow

Online Resources

Recommended Readings

Procedures

Airway & Breathing

Intubation

  • TSICU Intubation Protocol

Surgical Cricothyroidotomy

Bedside Percutaneous Tracheostomy

Fiberoptic Bronchoscopy

Chest tube insertion

Pigtail catheter thoracostomy

Thoracentesis

Invasive Hemodynamic Monitoring & Access

Central Venous Catheterization

Arterial line insertion

Pulmonary Artery Catheter Insertion

Dialysis Access

Paracentesis

Compartment pressure measurement