Multiprofessional Critical Care Review: Adult 2024 (MCCRCA24ON)-Board Review Questions: Blood Emergencies, Solid Organ Transplantation, GI, Environmental and Surgery

Board Review Questions: Blood Emergencies, Solid Organ Transplantation, GI, Environmental and Surgery

Video Transcription

Video Summary

The Q&A session at the conference featured prominent experts in critical care, including Heather Lee Bailey, Lou Kaplan, Nicole Siparsky, and Rajat Kapoor. Key topics covered were surgical issues, solid organ transplants, gastrointestinal (GI) emergencies, environmental emergencies, and blood emergencies.<br /><br />Dr. Kaplan addressed a complex case of a 54-year-old man with alcoholic cirrhosis, stressing the perioperative risks of portopulmonary hypertension in liver transplant candidates. He emphasized reducing pulmonary arterial pressure and vascular resistance as crucial preoperative steps.<br /><br />A case involving a 24-year-old woman in a high-speed crash was discussed. The focus was on initial heart rate and blood pressure control to manage a peri-aortic hematoma before considering surgical interventions.<br /><br />A 52-year-old man with multiple traumatic injuries was discussed, highlighting the value of the Thromboelastography (Teg) test to diagnose hyperfibrinolysis and the subsequent treatment for this coagulopathy.<br /><br />A case of a 39-year-old pregnant woman with HELP syndrome, requiring red blood cells and platelets transfusion, emphasized appropriate management for critical peripartum conditions.<br /><br />Other scenarios included management of an asthmatic patient with refractory symptoms requiring mechanical ventilation and neuromuscular blockade evaluation, a 38-year-old man with a flail chest from rib fractures needing surgical fixation, and a man with heat stroke and rhabdomyolysis.<br /><br />Overall, the session provided insights into complex critical care cases, emphasizing timely diagnosis, management strategies, and nuanced treatment options for various emergencies.

Keywords

critical care

surgical issues

transplants

GI emergencies

pulmonary hypertension

Thromboelastography

perioperative risks

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