Monitoring Critically Ill Patients

Vital basics on vital signs and other signs that are vital.

Our goal in medicine is to gather and organize data, interpret that data and ultimately make decisions in the prevention, diagnosis, and management of disease.  The initial part of this system is to ensure that adequate and correct data is collected and interpreted with knowledge of the process and shortcomings that the data was collected with.

Discussion includes vital signs, pulse oximetry, blood gases, capnography/end-tidal C02 (ETC02) and more.  It is important to recognize where vital signs can trick you, how to deal with pulse oximetry latency and how blood gases and ETC02 can be interpreted in the setting of shock.

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Monitoring Critically Ill Patients PDF

ETC02

Meyers CM, Weingart SD. Critical Care Monitoring In The Emergency Department. Emergency Medicine Practice. 2007;(9)7:1-23.

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Acute respiratory distress syndrome (ARDS)

Rob Kawa discusses Acute respiratory distress syndrome.

ARDSARDS PDF

ARDS Podcast


Osteopathic Approach for Palliative and Hospice Care

Rob Kawa talks palliative care in this podcast.  This is a great talk going over lots of Osteopathic principles as well as techniques.  This should also help those out there with a COMLEX exam coming up.  Enjoy!

OMT In Hospice and Palliative Care PDF


Quick Pimps: Causes of Postoperative Fever

Postoperative fever is an extremely common finding and therefore an extremely common topic for med students to be pimped on. Fever is found in as many as 91% of post-op patients. It is most often benign and self-limited and a normal physiologic response to the trauma of surgery.  However it can be due to a variety of causes, some benign and some life threatening.

  • Ws mnemonic
    • POD 1-2: Wind– Pneumonia, Aspiration, PE (NOT ATELECTASIS…listen to podcast for more details)
    • POD 3-5: Water– UTI
    • POD ~5: Walking– DVT, PE
    • POD ~7: Wound– Surgical Site Infection
    • POD >7: What we did– Line infections of drug/blood product reactions at any time
    • POD >10: Wonder Where?- Deep Abcess

Causes of Postoperative Fever Podcast

Postoperative fever notes

Evaluating postoperative fever: A focused approach. By James C. Pile MD


How to present a patient (Oral Case Presentations)

Oral case presentations (OCPs) are an integral part of the medical student learning experience and more importantly the team aspect of patient care.  In this podcast I sit down with Dr. Natasha Bray DO, Director of Medical Education at Broward Health Medical Center, to discuss some tips for presenting a patient, the common mistakes made by students, and to hear an example from a master of the art of presenting.

How to Present a Patient Podcast

Approach to the Oral Presentation PDF

Article by Greeen et al on the SOAPS method for OCPs


Chronic Obstructive Pulmonary Disease (COPD)

Tara Nowakhtar discusses COPD.  Podcast includes pathophysiology, clinical presentation and management.

COPD Podcast


Stroke and Transient Ischemic Attack (TIA)

Brandon Masi Parker discusses stroke and TIA.  The podcast focuses on management of patients presenting with signs of stroke and TIA as well as epidemiology, pathophysiology and current updates on evidence based approaches to stroke and TIA patients.

Stroke and TIA podcast

Stroke and TIA Powerpoint