Tips and Tricks of Critical Care Medicine & EDIC

Tips and Tricks of Critical Care Medicine & EDIC This page will give an insight about management of critically-ill patient in ICU or in emergency medicine.

Post surgical management in ICU
02/08/2026

Post surgical management in ICU

01/08/2026

Understanding of Physiology and Lung Mechanics for Mechanical Ventilation

We start at the beginning of the last deadly battle!
31/07/2026

We start at the beginning of the last deadly battle!

Up to 400 milligrams of caffeine a day—about 4 to 5 cups of brewed coffee—is generally safe for most healthy adults, acc...
30/07/2026

Up to 400 milligrams of caffeine a day—about 4 to 5 cups of brewed coffee—is generally safe for most healthy adults, according to the U.S. Food and Drug Administration (FDA) and guidelines from the Mayo Clinic.

weaning from NIV, APPROACH AND PROTOCOL...
29/07/2026

weaning from NIV, APPROACH AND PROTOCOL...

According to the latest ASPEN/SCCM and ESPEN guidelines, routine disease-specific enteral formulas (renal, hepatic, COPD...
29/07/2026

According to the latest ASPEN/SCCM and ESPEN guidelines, routine disease-specific enteral formulas (renal, hepatic, COPD) are not recommended for most critically ill patients. Standard high-protein formulas should be used in the majority of ICU patients, with disease-specific formulas reserved only for selected situations.

How to recognpze critical illness?
29/07/2026

How to recognpze critical illness?

EDIC Pearls--------------🔹 Persistent SIRS + Rising BUN = High risk of severe AP🔹 CRP >150 mg/L (48 h) suggests severe p...
28/07/2026

EDIC Pearls
--------------

🔹 Persistent SIRS + Rising BUN = High risk of severe AP
🔹 CRP >150 mg/L (48 h) suggests severe pancreatitis.
🔹 Hypocalcemia, elevated HCT, and high LDH indicate worse prognosis.
🔹 Early recognition of organ dysfunction is more important than any single scoring system.

28/07/2026

**EDIC Imaging Pearls – Acute Pancreatitis**
------------------------------------------------------

🔹 **USG → Detect gallstones (biliary etiology)**
🔹 **CECT → Assess severity & local complications**
🔹 **MRCP/EUS → Identify occult biliary cause in idiopathic pancreatitis**
🔹 **ERCP → Therapeutic; indicated for cholangitis or persistent CBD obstruction**

**Easy Mnemonic:**
**USG = Stones → CT = Severity → MRCP = Search → ERCP = Solve**

28/07/2026

EDIC Exam Key Points (Very High Yield) for HPS:
-----------------------------------------------------
test: Pulse oximetry

test: ABG → ↑ A–a O₂ gradient

test: Contrast echocardiography (bubble echo)

: Intrapulmonary vascular dilatation → right-to-left shunt → hypoxemia

HPS: PaO₂

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