ICU Decoded › LibraryICU Decoded — library
The complete contents of ICU Decoded as plain, readable pages. Free content is published here in full. Every other page carries its key points, tests, red flags and criteria; the step-by-step pathways, orders, doses and brands open in the apps.
The four references
Free critical care chapters
Septic Shock: Source, Cultures, Pressors Sepsis is infection with acute organ dysfunction, operationalized as a SOFA increase of at least 2 points. Septic shock adds… Status Epilepticus: Stop the Seizure Convulsive seizure ≥5 min, or repeated seizures without recovery: lorazepam 0.1 mg/kg IV (max 4 mg; repeat once after 5 min), or… Ischemic Stroke: Reperfusion Window For disabling deficits (not NIHSS alone) give alteplase 0.9 mg/kg or tenecteplase 0.25 mg/kg (max 25 mg, co-equal Class 1… Subarachnoid Hemorrhage Thunderclap headache: urgent noncontrast CT. If negative and presentation is >6 h or there is a new deficit, do an LP when safe.… Intracerebral Hemorrhage Immediately reverse anticoagulation: PCC + vitamin K for warfarin, idarucizumab for dabigatran, 4-factor PCC for Xa inhibitors… Sodium, Potassium, Calcium & Magnesium Hyponatraemia: treat severe neurological symptoms promptly with monitored 3% saline boluses. Correction limits: ≤10 mmol/L in the… DKA & Hyperosmolar State DKA: start 0.9% NaCl or balanced crystalloid at 500–1000 mL/h for the first 2–4 h, add insulin 0.1 U/kg/h once K⁺ ≥3.5, add… Insulin & Glycemic Targets Target 140–180 mg/dL (7.8–10 mmol/L); tight control (80–110) increases hypoglycemia and mortality.
Ward pathways by specialty
Cardiology 12 cases Acute Pulmonary Oedema, Congestive Heart Failure (chronic, systolic), Acute Coronary Syndrome, Aortic Stenosis… Hematology 8 cases Sickle Cell Crisis, Autoimmune Hemolysis, G6PD Deficiency, Paroxysmal Nocturnal Hemoglobinuria… Endocrinology 4 cases Diabetic Ketoacidosis, Hyperosmolar Hyperglycaemic State (HHS), Hypoglycaemia (Severe, Inpatient), Adrenal Crisis… Neurology 6 cases Stroke (Ischaemic), Myasthenia Gravis, Subarachnoid Haemorrhage, Guillain-Barré Syndrome… Gastroenterology 4 cases Gastrointestinal Bleeding, Inflammatory Bowel Disease, Acute Pancreatitis, Decompensated Cirrhosis (Ascites, SBP, Encephalopathy)… Nephrology 7 cases Acute Kidney Injury — Prerenal, Acute Tubular Necrosis (incl. Rhabdomyolysis), Nephrotic Syndrome (Membranous), End-Stage Renal Failure / Dialysis… Pulmonary 6 cases Asthma, COPD, Pneumonia (CAP), Pneumocystis (PCP) Pneumonia… Rheumatology 2 cases Systemic Lupus Erythematosus, Septic Arthritis (Acute Hot Joint)… Oncology 4 cases Multiple Myeloma, Tumour Lysis Syndrome, Febrile Neutropenia, Hypercalcaemia of Malignancy… Infectious Disease 7 cases Osteomyelitis, Endocarditis, Pyelonephritis, Cellulitis… Emergency / Toxicology 10 cases Tricyclic Antidepressant Overdose, Paracetamol Overdose, Aspirin / Salicylate Overdose, Carbon Monoxide Poisoning… Critical Care / ICU 10 cases Sepsis & Septic Shock, Undifferentiated Shock & Vasopressor Guide, Anaphylaxis, Acute Respiratory Failure — Initial Ventilator Setup… Miscellaneous 7 cases Invasive Fungal Infection in the ICU, Clostridioides difficile and ICU Diarrhoea, Coagulopathy in the Bleeding Patient, Rheumatological Emergencies…