TSICU:Main: Difference between revisions

Line 59: Line 59:


=='''Core Clinical Conditions & Management'''==
=='''Core Clinical Conditions & Management'''==
===Shock===
==='''Shock'''===
*[[Undifferentiated shock]]
*[[Undifferentiated shock]]
*Hypovolemic
*Hypovolemic
Line 75: Line 75:
===Assessment of Fluid Responsiveness in the ICU===
===Assessment of Fluid Responsiveness in the ICU===


===Pulmonary===
==='''Pulmonary'''===
====Initiating [[Mechanical ventilation (main)]]====
====Initiating [[Mechanical ventilation (main)]]====
*[[Ventilation modes]]
*[[Ventilation modes]]
Line 100: Line 100:
*Extracorporeal Membrane Oxygenation
*Extracorporeal Membrane Oxygenation


===Renal===
==='''Cardio/Vascular'''===
====[[Arrhythmias]]====
====[[Hypertensive Emergency]]====
====[[Nontraumatic thoracic aortic dissection]]====
====[[Acute limb ischemia]]====
====''[[Coming Soon: TSICU Anti-impulse Management Protocol]]''====
 
==='''Renal'''===
====[[Acute kidney injury]]====
====[[Acute kidney injury]]====
====[[Acid-base disorders]]====
====[[Acid-base disorders]]====
Line 127: Line 134:
*IHD
*IHD


===Sepsis & Septic Shock===
==='''Sepsis & Septic Shock'''===
*[[Sepsis (Main)]]
*[[Sepsis (Main)]]
*[[Initial Antibiotics in Sepsis (Main)]]
*[[Initial Antibiotics in Sepsis (Main)]]


===Infections in the ICU and Appropriate Selection of Antibiotics===
==='''Infections in the ICU & Appropriate Selection of Antibiotics'''===
====[[Post-operative fever]]====
====[[Post-operative fever]]====
====Ventilator Associated Event (VAE) ''formerly known as [[Ventilator associated pneumonia]] (VAP)''====
====Ventilator Associated Event (VAE) ''formerly known as [[Ventilator associated pneumonia]] (VAP)''====
Line 143: Line 150:
====[[Harbor:Infectious Disease Threats]]====
====[[Harbor:Infectious Disease Threats]]====


==='''Cardiovascular'''===
==='''Hepatic & GI'''===
====[[Arrhythmias]]====
====[[Hypertensive Emergency]]====
====[[Nontraumatic thoracic aortic dissection]]====
====[[Acute limb ischemia]]====
====''[[Coming Soon: TSICU Anti-impulse Management Protocol]]''====
 
===Hepatic & GI===
====Liver Failure====
====Liver Failure====
====[[Abdominal compartment syndrome]]====
====[[Abdominal compartment syndrome]]====


===Nutrition Therapy including Stress Ulcer Prophylaxis===
==='''Nutrition Therapy including Stress Ulcer Prophylaxis'''===
====[[FEED ME Protocol]]====
====[[FEED ME Protocol]]====
====[[Refeeding syndrome]]====
====[[Refeeding syndrome]]====


===Disseminated Intravascular Coagulopathy===
==='''Disseminated Intravascular Coagulopathy'''===


===Traumatic Brain injury===
==='''Traumatic Brain injury'''===
*[[Glasgow Coma Scale]]
*[[Glasgow Coma Scale]]
====[[Mild traumatic brain injury]]====
====[[Mild traumatic brain injury]]====
Line 166: Line 166:
*[[Elevated intracranial pressure]]
*[[Elevated intracranial pressure]]


===Spinal Cord Injury===
==='''Spinal Cord Injury'''===
*ASIA Score
*ASIA Score
*[[Spinal cord syndromes]]
*[[Spinal cord syndromes]]


===Neurologic Emergencies===
==='''Neurologic Emergencies'''===
====[[Altered mental status]]====
====[[Altered mental status]]====
====[[Seizure]]====
====[[Seizure]]====
Line 183: Line 183:
*[[Anticoagulant reversal for life-threatening bleeds]]
*[[Anticoagulant reversal for life-threatening bleeds]]


===Pain, Agitation, Delirium, Immobility, and Sleep (PADIS)===
==='''Pain, Agitation, Delirium, Immobility, and Sleep (PADIS)'''===
====RASS====
====RASS====
====[[Delirium]]====
====[[Delirium]]====
*CAM-ICU
*CAM-ICU


===Endocrine Emergencies===
==='''Endocrine Emergencies'''===
====[[Diabetic ketoacidosis]]====
====[[Diabetic ketoacidosis]]====
====[[Nonketotic hyperglycemia]]====
====[[Nonketotic hyperglycemia]]====
Line 202: Line 202:
====[[Diabetes insipidus]]====
====[[Diabetes insipidus]]====


===Venous Thromboembolism===
==='''Venous Thromboembolism'''===
*DVT
*DVT
*PE
*PE

Revision as of 19:57, 20 July 2019

This is the main page for Harbor-UCLA Trauma SICU

Admin Updates & Reminders

Media:SICU Intern Guide.pdf

Coming Soon: TSICU Orientation & Welcome Video-Dr. Dennis Kim

TSICU:General Administrative

TSICU: Weekly Schedule

TSICU:Educational Conferences

TSICU:Clinical Documentation

TSICU:Order Sets

TSICU:Mandatory Call Criteria

TSICU:Equipment & Supplies

TSICU:Miscellaneous

TSICU:Patient Care Management

TSICU:Admissions

*Every admission to the TSICU requires Trauma/SICU Attending approval

TSICU:Transfers & Downgrades

TSICU:Ordering Labs, Tests, & Diagnostic Imaging

TSICU:Antibiotic Stewardship

TSICU:Bedside Procedures

Referral to One Legacy

Death Packet Checklist

TSICU:Educational Resources

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

Advanced Modes of Ventilation

  • Extracorporeal Membrane Oxygenation

Cardio/Vascular

Arrhythmias

Hypertensive Emergency

Nontraumatic thoracic aortic dissection

Acute limb ischemia

Coming Soon: TSICU Anti-impulse Management Protocol

Renal

Acute kidney injury

Acid-base disorders

Electrolyte abnormalities

Rhabdomyolysis

Uremia

Renal Replacement Therapy

  • CVVHD
  • IHD

Sepsis & Septic Shock

Infections in the ICU & 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

Hepatic & GI

Liver Failure

Abdominal compartment syndrome

Nutrition Therapy including Stress Ulcer Prophylaxis

FEED ME Protocol

Refeeding syndrome

Disseminated Intravascular Coagulopathy

Traumatic Brain injury

Mild traumatic brain injury

Moderate-to-severe traumatic brain injury

Spinal Cord Injury

Neurologic Emergencies

Altered mental status

Seizure

Alcohol withdrawal seizures

  • CIWA Protocol

CVA

Management of Hemorrhage in Patients on Antithrombotic Therapy

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

RASS

Delirium

  • CAM-ICU

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

Educational Resources

  1. Numbered list item

Goals & Objectives - MS4

Goals & Objectives - PGY-1/PGY-2

Goals & Objectives - Fellow

Online Resources

Recommended Readings