Emergency & Intensive Care
Critical care protocols and advanced life support management
Critical Care Priorities
ABC-DEFG: Airway • Breathing • Circulation • Disability • Exposure • Fluids • Glucose
Emergency Medications
Epinephrine
Cardiac Arrest
1mg IV/IO q3-5min
Norepinephrine
Shock
0.01-3 mcg/kg/min
Vasopressin
Shock
0.01-0.04 units/min
Amiodarone
VT/VF
300mg IV, then 150mg
Propofol
Sedation
5-50 mcg/kg/min
Fentanyl
Analgesia
25-100 mcg IV
Critical Care Protocols
Advanced Cardiac Life Support
ACLS protocols and cardiac emergency management
VF/VT
PEA/Asystole
Bradycardia
Tachycardia
Airway Management
Advanced airway techniques and ventilation strategies
RSI
Difficult Airway
Ventilator Management
Weaning
Shock & Resuscitation
Hemodynamic management and resuscitation protocols
Septic Shock
Cardiogenic
Hypovolemic
Vasopressors
Neurological Emergencies
Critical neurological conditions and interventions
Status Epilepticus
ICP Management
Brain Death
Therapeutic Hypothermia
Trauma & Surgery
Trauma resuscitation and surgical critical care
Damage Control
Massive Transfusion
TBI
Compartment Syndrome
Renal & Metabolic
Acute kidney injury and metabolic emergencies
CRRT
Acidosis/Alkalosis
Electrolytes
DKA/HHS
Monitoring & Assessment
Hemodynamic Monitoring
• Arterial Line
• CVP
• PA Catheter
• ScvO2
Respiratory Monitoring
• ABG
• ETCO2
• Ventilator Graphics
• P/F Ratio
Neurological Monitoring
• ICP
• Pupillometry
• EEG
• BIS
Laboratory Values
• Lactate
• Troponin
• D-dimer
• Procalcitonin
Critical Procedures
Central Line Placement
Emergent
Indications:
- Vasopressor administration
- Hemodialysis
- Large volume resuscitation
Endotracheal Intubation
Emergent
Indications:
- Respiratory failure
- Airway protection
- Surgery
Chest Tube Insertion
Emergent
Indications:
- Pneumothorax
- Hemothorax
- Empyema
Arterial Line Placement
Urgent
Indications:
- BP monitoring
- Frequent ABGs
- Vasopressor titration
ICU Scoring Systems
APACHE II
0-71
ICU mortality prediction
SOFA Score
0-24
Organ dysfunction assessment
qSOFA
0-3
Quick sepsis screening
RASS
-5 to +4
Sedation assessment
Rapid Response
Time-critical interventions and emergency protocols
Advanced Monitoring
Comprehensive ICU monitoring and assessment tools
Evidence-Based
Latest critical care guidelines and best practices