Browsing Tag

icu

Preparing For ICU Rounds As A Fellow

It's important for the intensive care unit (ICU) treatment team to construct and communicate our daily assessment and plan with all relevant parties involved in a patient's care. We accomplish this during "rounds" each morning with a team…

Procalcitonin Inflammatory Biomarker

Procalcitonin (PCT) is a 116 amino acid peptide precursor to calcitonin, a hormone involved in calcium homeostasis. PCT increases significantly in the context of proinflammatory bacterial infections but remains low in viral and other…

Finished First Block Of Cardiac ICU

As a critical care fellow, I'll spend a total of two months (four, 2-week rotations) in the cardiac intensive care unit (ICU). I just finished my first rotation there and got to befriend many of the cardiac surgery attendings and fellows…

What Is Moonlighting?

Moonlighting basically entails taking on paid work on top of my normal job. Our program restricts moonlighting hours to ~20 hours per month, so we remain focused on our fellowship at hand instead of lucrative opportunities to make extra…

EPIC ICU Template

Here's the EPIC EMR template I made for rounding in the VAD/transplant ICU. The formatting is off (bold, centered, etc), but the shortlinks are still there for the problem list, problem list, recent vitals, VAD data, ins/outs, recent labs,…

Last Week Of VAD/Transplant ICU

I'm beginning my last week on the cardiac transplant and VAD ICU rotation - one week from finishing all of my required ICU rotations as a resident! It's shaping up to be my most draining week too with two calls plus weekend coverage and a…

What Is A Left Ventricular Assist Device (LVAD)?

Ventricular assist devices (VADs) can support the right (RVAD) and left (LVAD) ventricles and were initially utilized as mechanical circulatory support devices for bridge-to-transplant (BTT) in heart failure. Modern continuous flow VADs are…