RK.MD Perioperative And Critical Care Reference Sheet

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Ever since finishing my fellowships, I wanted to create a free reference sheet (front and back) containing “high-yield” information in the areas of critical care and perioperative medicine. I believe I’m well-suited to pursue this educational endeavor, given my training as a physician who works in both settings, and I hope that many of you will benefit from the information. Now some details:

  • This sheet doesn’t constitute medical advice, and I’m NOT responsible for any decisions or outcomes.
  • Share this document freely, but I ask that you give me credit for it (hence the watermark).
  • I used a combination of Pixelmator Pro and Microsoft Excel to construct the document. I used GoodNotes on my iPad Pro to draw the diagrams.
  • Many areas are up for debate (ie, medication doses). Please note that these guidelines are primarily based on my experience as a cardiothoracic anesthesiologist and intensivist. Your institution’s policies and practices may differ considerably.
  • If you print this out, you might need to scale the document to fit on a single page or adjust your printable margins to 0. Use the print preview to ensure everything is visible.
  • If you have any suggestions or would like to report errors, please don’t hesitate to contact me. Drop me a comment below and buy me a coffee if you find this reference sheet helpful! 😀
Download →

CHANGELOG

12/24/21Fixed some typos
1/10/2021Added QR Code to share link to this post
9/12/2020Added electrolyte abnormality section
Rearranged some of the sheet elements
5/1/2020More treatment options for cyanide toxicity
Added shock table
3/31/2020Initial Release

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Comments

38 responses to “RK.MD Perioperative And Critical Care Reference Sheet”

  1. Alex Avatar
    Alex

    Can you please clarify the midazolam bolus dosage? The document says 0.1-0.3 mg/kg. So for a 60 kg person, it would translate to 6-18 mg of IV Midazolam. It seems too much of a dose. If I recall correctly, it’s always been a max of 2 mg IV for a non-vented patient.

    Reply
    1. Rishi Avatar
      Rishi

      The doses in that section are for hypnosis (unconsciousness, unresponsiveness to external stimuli, amnesia). 2 mg IV is a typical anxiolytic dose for midazolam. Hope this helps!

      Reply
  3. Libby Diaz Avatar
    Libby Diaz

    Thanks Doc! I’m an ICU nurse but also a nursing instructor for students on their ICU rotation. They do 4 weeks with me in CVICU and I’m so pumped to share this with them. I greatly appreciate everything you do, and all the knowledge you share with all of us across all specialties and disciplines of healthcare.

    Reply
  4. Gabriela Guillen Avatar
    Gabriela Guillen

    Currently a Med Surg/Tele RN. Will be orienting to ICU soon. Great Resource, Thanks you x100

    Reply
  5. Kayla Avatar
    Kayla

    Thank you for this! A quick glance to better understand things in my busy ICU is super appreciated. The resources you provide are amazing and unbelievably valuable. Thank you for sharing your knowledge 🙂

    Reply
  6. Eric Thomas Avatar
    Eric Thomas

    Your content for my field as a flight nurse is so spot on; easy to digest and refresh. Thank you for helping me help others better.

    Reply
    1. Rishi Avatar
      Rishi

      Really appreciate the kind words my friend! Stay safe, and thank you for everything you and your colleagues do!

      Reply
  7. Michelle Avatar
    Michelle

    Thank you so so much! I work in ICU and the information presented here makes it easy to use for quick references.

    Reply
  8. Dr. Amina jalalzei Avatar
    Dr. Amina jalalzei

    For the amount of great contributions you are doing, you should be rewarded or something!! These are amazing! Everytime I come across your page I can’t help but feel inspired to do better and feel motivated. People like you are very rare!

    Reply
  9. Ryan Dorsey Avatar
    Ryan Dorsey

    Emergency RN here. These are amazing! Better than anything I’ve ever paid for! Thanks, Rishi. Excellent videos also! What can I send you?

    Reply
    1. Rishi Avatar
      Rishi

      Haha, thanks so much for the compliment, Ryan! No need to send me anything – these are made freely available for the sole purpose of educating. Glad you found it helpful! Stay tuned for my follow-up reference sheet on mechanical circulatory support devices! 🙂

      Reply
  10. Melaine Avatar
    Melaine

    Thanks! It’s really helpful reference. Hopefully, many more to come ????

    Reply
  11. POB Avatar
    POB

    This is fantastic, man! Top shelf material. As a CA0 Anesthesia intern in the CVICU right now, picking up all this stuff in bits, from PA caths and what CVP values I “should believe”, to vasoactive dosing, the prospect of ALL this info in one place, is kind of an amazing gift. I’m gna have to keep a closer eye on this blog haha. Also planning to come your way in a few months to ask about what I should be thinking about, aiming at, if I think–as I presently do–I may want to do a CC/Cardiac fellowship double-dip.

    Reply
    1. Rishi Avatar
      Rishi

      Thanks so much for the kind words! Haha, oh yeah, feel free to drop me questions anytime! Best wishes to you as you wrap up intern year. Stay safe and motivated!

      Reply
  12. Florian Avatar
    Florian

    Thank you Rishi for putting this together. In times where more of us without formal ICU training are getting deployed to take care of critical care patients this is extremely helpful. Much appreciated!

    Reply
  13. Swapnil Singh Avatar
    Swapnil Singh

    faboulous sir i liked it . very OInformative , it reflects your Hardwork

    Reply
  14. nikki bee Avatar
    nikki bee

    Incredible reference! I am in graduate school and I have found all of your insta posts and this reference sheet amazing. I am hoping that you one day publish an ICU book. I’ve even got a title for you! “The Rishi Reference”!

    Reply
    1. Rishi Avatar
      Rishi

      Hahaha, I really appreciate the comment, Nikki! I don’t really think I’ll ever publish a book in the conventional sense – I rather keep everything available on the Internet (ie, this website) for anyone to read anywhere at anytime for free. 🙂

      Reply
  15. Robert Mekis Avatar
    Robert Mekis

    Thanks Rishi, Excellent document for reference. Accurate and detailed.

    Robert M.
    Critical Care Flight Paramedic
    Ornge Air Ambulance 7792 London Ontario Canada.

    Reply
  16. Dr Amit Singh Avatar
    Dr Amit Singh

    This is quite comprehensive as well as concise. Good work. Thanks.

    Reply
    1. Rishi Avatar
      Rishi

      Thank you! It was difficult to decide what to include on the sheet and arrange things so they look semi-organized, but I’m appreciating all the positive feedback!

      Reply
  17. Daniel Rubinger Avatar
    Daniel Rubinger

    Haven’t had a chance to look at it in too much detail but it looks great! Excited to keep a copy in my scrub pocket 🙂 Thanks again!!

    Reply
  19. Muhammed madari Avatar
    Muhammed madari

    Hi… i am a doctor in South Africa just starting my studies in anaesthesia and critical care. I have been following you on insta for some time now and have been learning alot. The reference sheet is really great. Im going to make sure its on the wall of our theatre.

    Thank you and keep up the great work

    Reply
    1. Rishi Avatar
      Rishi

      Thanks so much for the kind words, Muhammed! Both my anesthesiology residency and cardiothoracic anesthesia fellowship program directors are from South Africa. They always spoke so fondly of their home. Hope to visit someday!

      Reply

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