The Clinical Problem Solvers Episode 358 – #IDLove – Fever in The ICU
13 snips
Oct 8, 2024 Discover an innovative AI medical scribe designed to boost clinical efficiency while emphasizing patient privacy. Dive into a complex case of a 70-year-old man with multiple health issues, exploring shock management and the intricacies of atrial fibrillation. Learn about diagnosing fever in ICU patients, focusing on identifying underlying causes and collaborative communication in critical care. The discussion also highlights acalculous cholecystitis, stressing its relevance for critically ill patients, especially in septic contexts.
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Episode notes
Stabilize First In Shock
- Prioritize immediate management (ABCs, IV access, fluids, pressors) before chasing diagnosis in shock.
- Use bedside ultrasound early to rule out hemorrhage or obstructive causes.
Use SHOCK To Organize Causes
- Use the SHOCK mnemonic to categorize shock causes: septic, hemorrhagic/hypovolemic, obstructive, cardiogenic.
- Septic shock is the common distributive shock and deserves early consideration.
Chart Review Before Exam
- When evaluating fever, review the chart thoroughly: timing, medications, antibiotics, and lines.
- Intubated patients need diligent source checks since they cannot localize symptoms.
