Please remember to assign yourself daily as the treating physician for all patients on your team in the MICU. Highlight the entire list, right click, assign others, list yourself as provider and check “attending” then accept.
Category: MICU
Pulmonary Embolism Response Team (PERT)
Please refer to attached PERT Algorithm (risk stratification and management of confirmed pulmonary embolism) for patients admitted to the hospital
MICU capacity and capping procedure
If the MICU reaches capacity (68 total patients – 20 on Green, 16 on Red, White and Blue), the fellow will notify Dr. Swiderek from 7am-7pm or the night intensivist from 7pm-7am if we cap. For nocturnists who receive this call, please notify: ATMO at 313-916-2987 – press 1 for beds; press 1 for Detroit; […]
ECMO reference sheet
Fellow’s Reference for ECMO-related Queries Prepared by Alvey, Abu-Sayf, Al-Jasmi, Razvi, Abrencillo FullPDF
ROSE study inclusion and exclusion criteria
INCLUSION 1. Age > 18 years 2. Presence of all of the following conditions for < 48 hours a. (I) PaO2/FiO2 < 150 with PEEP > 8 cm H2O. OR, IF ABG NOT AVAILABLE SpO2/FiO2 ratio that is equivalent to a PaO2/FiO2 < 150 with PEEP > 8 cm H2O (Appendix A1), and a confirmatory […]
Death Certificate Rules
State of Michigan – Death Certificate Instructions State of Idaho – terminology for drugs and alcohol: http://www.healthandwelfare.idaho.gov/Portals/0/Health/Vital%20Records/DrugsAlcohol.pdf
GI Bleed Admissions
From Dr. Swiderek: Due to high MICU patient volume and MICU remaining over capacity, the SICU and MICU teams have been working on a plan to redistribute patients with non-cirrhotic GI bleeds to the SICU. The goal is to open up MICU beds and to allow for a more consistent patient population to be admitted […]
Vent Waveform 1
A patient is agitated during mechanical ventilation and interventions are made to achieve better patient-ventilator synchrony. Flow and pressure curves from before and after the intervention are shown. Based on the change, which of the following best describes the intervention? Matching intrinsic PEEP with Extrinsic PEEP to facilitate triggering each breath Increasing flow rate and […]
PEEP in ARDS
A 45-year-old previously healthy woman is admitted to the intensive care unit for bacterial pneumonia and severe acute respiratory distress syndrome. She undergoes rapid-sequence intubation with ketamine and rocuronium and receives volume-limited mechanical ventilation with a tidal volume of 6 mL/kg ideal body weight, positive end-expiratory pressure (PEEP) of 10 cm H2O, and FIO2 of […]
Policy: HELIOS Intensive Care Unit (ICU) Protocol for Pain, Agitation, and Delirium for patients on the ventilator (PAD
PURPOSE: The purpose of the pain, agitation, and delirium (PAD) protocol is to: Allow bedside clinicians to manage pain, agitation and delirium for the adult ventilated ICU patient Guide the provider when ordering medications for pain, agitation and delirium. Provide appropriate and safe dosing and monitoring guidelines. Decrease adverse drug events related to medications in […]