Critical Care Time 66. Rheumatology Emergencies with Dr. Marcela Ferrada
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Jan 12, 2026 Dive into the world of rheumatologic emergencies with Dr. Marcela Ferrada, who highlights crucial signs that intensivists must recognize. From the importance of quick diagnostics using organ-based approaches to balancing infection with immunosuppression, the discussion is packed with essential insights. Real case studies, including scleroderma crises and ANCA vasculitis, showcase the urgency of intervention. Plus, learn about cutting-edge therapies like IL-1 inhibition for juvenile arthritis. Perfect for those in the critical care arena!
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Act Early On Suspected Rheumatologic Disease
- When you suspect rheumatologic disease in ICU patients, consider it a life-saving diagnosis that intensivists can act on.
- Send targeted tests and consult rheumatology early to access disease-specific therapies and trials.
Flag Young Patients With Unusual Organ Combinations
- Trigger rheumatologic thinking for young patients with unusual presentations like pulmonary+renal involvement or early MI/stroke.
- Keep autoimmune vasculitis high on the differential for lung-plus-kidney syndromes and send ANCA/GBM testing early.
Cover Infection First, Then Escalate Immunosuppression
- In the ICU, empirically cover for infection while you evaluate for inflammatory disease; treat both when necessary.
- If cultures are negative and patient worsens, escalate immunosuppression guided by organ severity and infection risk.