Friday 12:30 to 3pm – pm checker Eligible patients: General return or new pulmonary patients who ‘No Show’ to 2 consecutive visits (resets if hospitalized, is seen in the add-on clinic), missed appointments for hospitalizations or cancellations do NOT count Process: Patients who have ‘No showed’ twice in a row (new or return) , will not […]
Category: Uncategorized
Vents II
A 56 yo man with COPD has been receiving mechanical ventilation using volume assist control for the last 36hrs. His settings are: TV 6mL/kg RR 24 FiO2 0.4 PEEP 5. His ABGs have improved to: PO2 82mmHg, PCO2 42mmHg pH 7.37 and you switch him to a pressure support mode to provide a comparable tidal […]
Fluids in ICU
A prospective trial published in 2012 compared a chloride-restricted fluid strategy with a chloride-liberal strategy for critically ill patients. What were the findings of this study? JAMA 2012;308(15):1566-1572 There was an additional study published in 2015 evaluating hyperchloremia in critically ill septic patients. What were the findings of this study? Crit Care Med 2015 Sep;43(9):1938-44 […]
Hypoxia continued
Continued from previous Case. You bring your patient back to clinic after testing. She tells you she may have had a TIA a few years ago, and that she was recently diagnosed with iron deficiency anemia. 2D ECHO with bubble study reveals bubbles in left ventricle within 1 cardiac cycle (almost immediately) Her ABG on […]
Hypoxia
A 52 yo woman is sent to you by her primary care physician for evaluation of hypoxia. She has no symptoms except for early fatigue when she attempts to exercise. She is a lifelong nonsmoker and has no significant past medical history except for hypertension. Pulse oximetry on room air at rest is 80%. You […]
Clinical talks
List of Clinical Talks (Friday) can be found here.
Management of Lung Nodule – part 1
Your 54-year-old male patient is undergoing evaluation for dyspnea. He is a lifelong nonsmoker. A CT scan was performed by his primary care physician and a 2.5cm RUL lesion with spiculated border is noted, with a 1.4cm satellite nodule in the same lobe of the lung. There is a 7mm subcarinal lymph node seen, but […]
Green MICU Service
Green Service Fellow Role Senior fellows (2nd and 3rd year) assigned to green service will expected to function in a junior attending capacity. They will run rounds with the APPs at 930am. Senior staff will observe and provide input and advice as needed when there are any questions. First year fellows assigned to green […]
Fellowship Curriculum
See specific rotations for detailed descriptions. The overall goal of the fellowships in Pulmonary and Critical Care Medicine (CCM) is to provide trainees with the intellectual environment for acquiring the knowledge, skills, clinical judgment, and attitudes that are essential to the practice of pulmonary and/or critical care medicine. Whether you are in a combined fellowship […]
Time zone on the Pulm server
This post serves to document that up until today, Pulm server time zone was off by 8 hours (at 2pm server was recording the time as 6 am). Any fields dated before 9/25/2015 should account for this time discrepancy (i.e the Quality Rounds database).