Brian Locke
Brian Locke P/CCM Notes
- CTEPHNo longer clot in the vessels -> it is scar (hence, it has structure and can be removed by endarterectomy) Symptoms: Primarily dyspnea on...
- Diuresis and Sodium Balance in the ICUGoals Fluid restrictions do not work and do not matter. In fact, they don't even make sense "Sodium ...
- ECACaka expiratory central airway collapse. Reference: https://www.mayoclinicproceedings.org/article/S0025-6196(20)30258-5/fulltext Often co...
- ECMOBasics: https://www.atsjournals.org/doi/full/10.34197/ats-scholar.2020-0077VO Variables: Sweep gas flow rate: controls CO2 Speed o...
- ElectrolytesWhat is the difference between osmolality and tonicity? What's an example of where they might differ? Osmolality = measure of numb...
- Eosinophilic Lung DiseaseSimple Pulmonary Eosinphilia (Loeffler's Syndrome) Illness Script Who does it occur in? Often have a his...
- Family Updates in the ICUFirst conversation: introduce yourself and the team members. clarify when you will be available, or what othe...
- Fick Equation and PA Catheter PrinciplesVO2 = amount of oxygen consumed. CO = cardiac output Ca, Cv = content of O2 in the arterial circ...
- Fungal InfectionsDimorphic Mold form and yeast form mold = cold (nature, 25-30c) Yeast in the beast (in organism, 37c) ...
- Goals of CarePreference Stability In a retrospective cohort study of nonsurgical patients from the California patient discharge database fr...
- Hematologic Emergencies in the ICUAcute Promyelocytic Luekemia Often leukopenic (due to fragile cells) vs hyperleukocytosis in other AML, ...
- Hyperglycemic CrisesDKA Sodium Abnormalities in DKA - AnnalsATS Acid Base Problems in DKA - NEJM Electrolyte Problems in DKA - NEJM H...
- Hypersensitivity PneumonitisExtrinsic allergic alveolitis - to inhaled organic small particles. Recent guidelines: CHEST: https://journal.ch...
- ILDaka diffuse parenchymal lung diseases NEJM 2020 review: https://www.nejm.org/doi/pdf/10.1056/NEJMra2005230 [An Official American Thoracic ...
- Inhalational InjuryChlorine gas https://www.atsjournals.org/doi/abs/10.1513/AnnalsATS.202006-689CC?journalCode=annalsats supportive car...
- IntubationProcedure for Endotracheal intubation: sterile cockpit environment. More than 40% of adverse outcomes result from human factors. So...
- Lactic AcidosisIn Sepsis When does the body make lactate? Glucose -> Glycolysis -> Pyruvate Pyruvate can then go to two paths: P...
- Line complicationsWhen do you start pressors? Old school teaching: volume to fill the tank (3rd space losses, constriction might impair ci...
- Lung TransplantIndications Contraindicatoins Immunosuppresion 3 cell model = targets for immunosuppression Class 1 = vs nucle...
- Lung Cancer Screening and DiagnosisTrials NELSON Guidelines Mar 2021 USPSTF update -> age now 55->50 to 80; minimum pack years 30->20 ...