Emergency & Intensive Care

Critical care protocols and advanced life support management

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

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