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  Juri Katchanov 8:34 am on November 5, 2020 Permalink | Reply  

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  Juri Katchanov 10:05 am on November 26, 2019 Permalink | Reply  

  pain- do not miss: 

  

   
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  Juri Katchanov 8:28 am on March 1, 2019 Permalink | Reply  

  A. S.H.O.C.K.E.D. patient 

  

   
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  Juri Katchanov 3:17 pm on February 10, 2019 Permalink | Reply  

  S.H.I.T. happens 

  

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  Juri Katchanov 3:43 pm on July 24, 2008 Permalink | Reply  

  ICU 

  

  A

  ABC of Intensive Care

  https://vigilant.school.blog/2025/05/01/abc-of-the-intensive-care-bmj-1999/

  Analgesia and sedation

  https://vigilant.school.blog/2024/08/13/analgesia-and-sedation-in-the-icu/

  Anticoagulation

  Argatroban

  https://vigilant.school.blog/2025/01/04/argatroban/

  Heparin

  https://vigilant.school.blog/2025/01/04/uhf-heparin-heparin-pseudoresistancy/

  HIT

  https://vigilant.school.blog/2025/01/04/hit-hit-2-hitt-hitts/

  ARDS

  https://vigilant.school.blog/2024/09/10/ards/

  Arterial line

  https://vigilant.school.blog/2025/09/02/arterial-line/

  Aspergillosis

  https://vigilant.school.blog/2024/09/10/invasive-pulmonary-aspergillosis-in-the-icu/

  B

  Bronchoscopy

  https://vigilant.school.blog/2025/09/08/bronchoscopy/

  C

  CDI C.diff infection

  https://vigilant.school.blog/2025/12/22/c-diff-infection/

  Central venous lines

  https://vigilant.school.blog/2024/03/15/mental-roadmap-to-cvc/

  D

  E

  vvECMO

  Alarm: low flow

  https://vigilant.school.blog/2025/05/01/ecmo-alarms-low-flow/

  Pressures

  https://vigilant.school.blog/2025/09/10/vvecmo-pressures/

  Priming

  https://vigilant.school.blog/2020/07/29/novolung-priming-ecmo/

  Anschluss

  https://vigilant.school.blog/2021/08/15/vvecmo-anschluss/

  Hypoxemia on vvECMO

  https://vigilant.school.blog/2025/04/01/hypoxemia-on-vvecmo/

  Hypercapnia on vvECMO

  https://vigilant.school.blog/2025/02/01/hypercapnia-on-vvecmo/

  ECMO pearls

  https://vigilant.school.blog/2005/10/22/pearls-ecmo/

  F

  Fever

  https://vigilant.school.blog/2016/06/06/work-up-elevated-temperature-in-the-icu/

  https://vigilant.school.blog/2016/07/06/non-infectious-fever-in-the-icu/

  G

  H

  Hepatorenal

  https://vigilant.school.blog/category/kidney-injury/hepatorenal/

  HIT

  https://vigilant.school.blog/2025/01/04/hit-hit-2-hitt-hitts/

  I

  Impella

  https://vigilant.school.blog/2025/08/23/impella/

  Induction

  https://vigilant.school.blog/2026/02/04/very-smooth-induction-asa-2/

  Intubation

  https://vigilant.school.blog/2024/12/02/mental-roadmap-to-intubation/

  VL

  https://vigilant.school.blog/2024/12/02/video-laryngoscopy-vl/

  J

  K

  KetanestS

  https://vigilant.school.blog/2024/03/03/s-ketamin-ketamins-esketamin-ketanests/

  L

  Levosimedan

  https://vigilant.school.blog/2025/08/23/levosimedan/

  Lidocain

  https://vigilant.school.blog/2026/05/04/lidocain-als-co-analgetikum/

  M

  Methylene Blue

  https://vigilant.school.blog/2026/01/07/methylene-blue/

  N

  NeuroICUs in MUC

  https://vigilant.school.blog/2025/01/31/neurologische-icus-in-munchen/

  Neuromuscular blockade

  https://vigilant.school.blog/2024/04/11/mental-roadmap-to-neuromuscular-blocking-agents-nmb-nmba/

  NOMI

  https://vigilant.school.blog/2026/02/19/nomi/

  O

  OFA

  https://vigilant.school.blog/2026/05/04/ofa/

  Ö

  P

  Pacemakers

  temporary intravenous pacing

  https://vigilant.school.blog/2025/08/05/pacemaker-settings/

  permanent pacemakers

  https://vigilant.school.blog/2024/12/12/schrittmacher-notfalle/

  PDK

  https://vigilant.school.blog/2025/10/27/pdk-markierungen/

  Perfusoren

  https://vigilant.school.blog/2025/11/06/perfusoren-barmherzige-bruder/

  PESO

  https://vigilant.school.blog/2024/09/10/peso/

  PH pulmonary hypertension

  https://vigilant.school.blog/2020/01/15/pulmonary-hypertension/

  PiCCO

  https://vigilant.school.blog/2024/11/13/mental-roadmap-to-picco/

  Postoperative care

  https://vigilant.school.blog/2023/11/16/mental-roadmap-to-postoperative-care/

  Post-PCI care

  https://vigilant.school.blog/2026/02/13/post-pci-care/

  PT

  https://vigilant.school.blog/2025/09/01/perkutane-dilatative-tracheotomie-pt/

  Q

  R

  Respiration and ventilation

  https://vigilant.school.blog/2022/05/11/refractory-hypoxemia/

  RSI Notfallnarkose

  https://vigilant.school.blog/2026/02/04/rsi-notfallnarkose/

  RV failure

  https://vigilant.school.blog/2021/12/08/acute-rv-dysfunction-failure/

  S

  Sepsis

  https://vigilant.school.blog/2019/11/28/refractory-septic-shock/

  Steroids in the ICU

  https://vigilant.school.blog/2014/07/23/steroids-in-the-icu/

  T

  TOF

  https://vigilant.school.blog/2025/08/23/tof/

  U

  Ü

  V

  Vasopressors

  https://vigilant.school.blog/2024/11/28/vasopressors-as-drips-perfusor/

  Ventilation

  Crashing ventilated patient

  https://vigilant.school.blog/2026/06/03/crashing-ventilated-patient/

  W

  X

  Y

  Z

   

   
• 

  Juri Katchanov 1:04 pm on October 11, 2026 Permalink | Reply  

  Hypercortisolism (Cushing) 

  

  

  ACTH im Labor Becker (EDTA, sofort abzentrifugieren und einfrieren)

  https://www.labor-becker.de/leistungsverzeichnis/3664/acth

  Cortisol: Serum

  https://www.labor-becker.de/leistungsverzeichnis/3872/cortisol

  

  

  

  nihms-1752854Download
   
• 

  Juri Katchanov 10:29 am on October 11, 2026 Permalink | Reply  

  thyroid storm, thyreotoxic crisis 

  

  Burch-Wartofsky:

  https://www.mdcalc.com/calc/3816/burch-wartofsky-point-scale-bwps-thyrotoxicosis

  

  Fachinfo

  Thiamazol 40 mg inject. Henning

  
  Die Therapie des durch eine schwere Überfunktion bedingten Komazustandes (thyreotoxische Krise) erfolgt neben anderen allgemein üblichen Maßnahmen der Notfallmedizin (Intensivpflege, Infektbekämpfung, Betarezeptorenblocker) vor allem mit einer intravenösen Gabe von anfänglich 2 Ampullen Thiamazol 40 mg inject. Henning.
  Anschließend folgt eine Dauerinfusion von 120 bis 240 mg Thiamazol pro 24 Stunden.
  In bestimmten Fällen kann eine Plasmapherese oder die Thyreoidektomie (z. B. bei Iodkontamination) erforderlich werden.

  
  In bestimmten Fällen, in denen die orale Behandlung nicht angebracht ist (mangelnde Resorption, unregelmäßige Tabletteneinnahme, Zustand nach einer Operation etc.), kann Thiamazol 40 mg inject. Henning in den einer oralen Medikation entsprechenden Dosen zwischen 10 und 40 mg pro Tag, je nach Schweregrad der Erkrankung, verabreicht werden.

  https://www.fachinfo.de/fi/pdf/002077/thiamazol-henning-r

  

   
• 

  Juri Katchanov 9:36 pm on September 5, 2026 Permalink | Reply
  Tags: hyperthyreosis   

  hyperthyreosis 

  

  

  

  
  Bei einer manifesten Hyperthyreose ist die Therapieindikation klar gegeben. 

  Die initiale Therapieerfolgt medikamentös mit Thyreostatika vom Thioamidtyp (Thiamazol und

  Carbimazol) oder mit Propylthiouracil (PTU). Carbimazol und Thiamazol werden 1-mal

  täglich verabreicht, wohingegen PTU aufgrund der kürzeren Halbwertszeit 2- bis 3-mal täglich

  gegeben wird. Die initiale Dosis richtet sich unter anderem nach der Einschätzung des Schwere-

  grads der Hyperthyreose, dem Schilddrüsenvolumen und dem Vorliegen einer Jodbelastung. In

  Abhängigkeit vom Ausmaß der Hyperthyreose sind folgende Erstdosierungen gebräuchlich:

  Thiamazol 10–30 mg täglich

  Carbimazol 15–45 mg täglich

  Hepatitis und Agranulozytose zählen zu den schwersten thyreostatikabedingten Nebenwir-

  kungen. Sie treten durchschnittlich in den ersten ein bis eineinhalb Monaten nach Therapiebeginn

  auf. Eine 2-wöchentliche Kontrolle des Differenzialblutbilds und der Leberwerte scheint

  daher in den ersten 6 Wochen sinnvoll.

   
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  Juri Katchanov 2:04 pm on July 21, 2026 Permalink | Reply  

  iRUSH by Scott Weingart 

  I-RUSH-2026-07-11 Scott WeingartDownload

  https://emcrit.org/emcrit/rush-2/

   
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  Juri Katchanov 1:59 pm on July 21, 2026 Permalink | Reply
  Tags: VExUS   

  VExUS 

  

  

  

  

  VexUS_jkDownload

  Decoding VExUS 2024Download

  https://pmc.ncbi.nlm.nih.gov/articles/PMC11576717

  https://nephropocus.com/tag/vexus

   
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  Juri Katchanov 11:50 am on July 21, 2026 Permalink | Reply  

  LVOT VTI stroke volume cardiac index 

  

  

  

   
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  Juri Katchanov 3:11 pm on July 18, 2026 Permalink | Reply  

  Bacteria: classification 

  Four Quadrants of BacteriaDownload

  Systematik-der-Bakterien_c4arrrDownload
   
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  Juri Katchanov 7:52 am on June 23, 2026 Permalink | Reply  

  SPRÜCHE 

  

  

  

  

  

  

  

  

  

  

  

   
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  Juri Katchanov 2:52 pm on June 21, 2026 Permalink | Reply  

  知恵 

  知恵（ちえ)

  Weisheit

  σοφία

  prudentia, sapientia

  prudence, wisdom

  jñāna

  prajña

  la sagesse

  la sabiduría

  

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  Juri Katchanov 8:55 am on June 16, 2026 Permalink | Reply  

  Ajmalin (class IA) 

  Ajmalin is German PROCAINAMID