Icu Note Template - PowerPoint by iqf18603

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									                ICU Conference
                    Teaser

                              Age/Sex
                                CC
                              Brief Hx

The idea is to have this slide up while folks are getting settled. It tells them
 you’re ready to go, so “sit down and shut up”. It also gives them a bit of
information so they can begin to form ideas and questions about what will
                                 be presented.
               ICU Conference
                    Date


                          Your Name
                           PGY1,2,
   Some tips on PowerPoint: 28 is the smallest font you can use. Avoid
wasting time with animation. Don’t use normal written English; use short,
bulleted phrases that have only the key words, no articles, prepositions, etc.
     No more than six lines per slide. No more than six words per line.
                      Anticipate one minute per slide.
             H&P in a Sentence

                 Age/CC
                   PMH
       Mode of Transport and History
             2 Pertinent Signs

         Again the idea is to give the audience an idea of where you’re going.
  You may want to just show this slide for long enough for people to read it without
reading it yourself. Don’t spend much time on it. Should be only slight elaboration of
                                         “teaser”
                       Again the idea is to get people on track.
               Prehospital History
•   Hx: (CC, …)
•   VS/PE: (“normal” or specific abn)
•   Tx: (IV/O2/mon, medications, etc.)
•   Response / Course: (obvious improvement? If no
    comment, leave out)
                                               HPI
• CC
• Onset, Duration, Course (timing)
• If pain, then the usual
     – Location, Migration, Radiation
     – Character
     – Pain Scale evaluation
• Associated Symptoms (+ ROS)
• Pertinent negative ROS (documented in ED)
•   Get what you can out of the chart. It’s fair to get it from whatever notes exist, as the ED note often is
    a bit anemic here. We, hopefully, collect much more info than we document. It may be useful to
    speak to the clinicians involved in the case if there are key questions. They will usually welcome
    your questions.
                    PMH
• Allergies
• Medications
• Prior Diagnoses
  – List symptoms, duration, w/u, therapy
• Negative PMH (hospitalization, CAD, HIV,
  etc. as appropriate)
         Contributory Histories
• Social Hx
  –   EtOH, tobacco, drugs
  –   Behavioral risk factors
  –   Country of origin
  –   Occupation
• Family Hx

             (all this as appropriate)
Questions?



About the history only at this point.
                                Vital Signs
•   HR
•   BP
•   RR
•   POx
•   Temp
•   Glucose
•   Pain Scale
•   All this stuff as appropriate. If irrelevant, omit. (This is the rule throughout.)
General
                                   HEENT
•   Each of the following areas may or may not deserve specific comment.
•   It may be easiest to run through them in this format, even if each slide has only one or
    two lines.
Chest
Abdomen
Extremities / Skin
Vascular
Neuro
           Questions?
     These questions should pertain only to H&P
It’s fine to say that __ was not recorded in the chart.
  Preliminary Problem List
Try to get the audience to identify the major problems to be addressed and
              start thinking about what they’ll do about them.
                 Try not to spend more than a minute here.
                   Try to have the audience spit them out.
A second slide might give the list of problems we’ve identified and plan to
                                   discuss.

  The remainder of the conference should take them through most of the
problems: DDx, basics of Dx and Txic management, with a longer didactic
         lecture focusing on a more focused element of the case.
   Initial Intervention



Again, elicit from the audience (mainly junior residents) what
their initial interventions and diagnostic studies would be. Then
explain what was done.
Differential Diagnosis



Again elicit this from the audience .
Results
           EKG

In general you should get this
scanned in for inclusion in your
presentation.
                     ABG
•   pH:
•   PaCO2:
•   PaO2:
•   BE:
•   Co-Oximetry:
•   Results of shock panel
           CXR


In general you should get this scanned in
for inclusion in your presentation.
                                                Labs
•   You can use text boxes to insert the numbers.… To make a text box, click the icon at the bottom of the
    screen with a box, an “A”, and a bunch of lines. You can drag it into place, drag to size, and type
    whatever. The usual tools are used to format what you put inside.
•   You should be able to click, drag, cut ant paste the figures.
•   The figures were made in Draw, copied and pasted here.
Additional Imaging
Consultations
   Refined Problem List
Include persistent issues which need further diagnostic testing and/or
consultation
                        ED – ICU Course

•   Use Hospital Day Number (HOD#) format with day of presentation being HOD #0.
•   Include only pertinent information such as changes in condition, results of ancillary testing and
    consultation.
             Conclusion / Discussion

•   Include final diagnosis and major teaching points.
•   Now is the time to solicit comments from the audience and ICU team.

								
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