Approach to the Critical Patient

Recognition and time critical actions

Stabilization and activation

Hemodynamic and ventilation targets

Physiologic targets

History

Key history elements

Clinical context

Physical Exam

High yield findings

Core findings

PITFALLS

Missed diagnosis drivers

Differential Diagnosis

Altered mental status with hypothermia and bradycardia

Life threatening mimics

Laboratory Tests

Core endocrine and metabolic evaluation

Initial labs and interpretation

Arterial blood gas and respiratory failure assessment

Gas exchange and acid base

Diagnostic Tests

Scoring Systems

Objective diagnostic support

MRI

MRI indications and limits

CT

CT applications

Ultrasound

Point of care ultrasound

Disposition

Level of care and transfer

Disposition decisions

Treatment

Thyroid hormone replacement

Thyroid hormone therapy

Empiric glucocorticoids and adrenal coverage

Glucocorticoid therapy

Supportive critical care

Organ support and complications

Special Populations

Pregnancy

Pregnancy considerations

Geriatric

Older adult considerations

Pediatrics

Pediatric considerations

Background

Epidemiology

Disease frequency and outcomes

Pathophysiology

Mechanistic framework

Therapeutic Considerations

Rationale for core therapies

Patient Discharge Instructions

copy discharge instructions

Discharge planning after recovery

References

Clinical guidelines and evidence based sources

Key references

SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.