All right, so welcome back to the Internet Book of Pridical Care Podcast.

I'm here with Adam Thomas and we're going to talk about preclampsia and help syndrome.

I don't know about you, but there's a few things that make me pretty scared in the trauma

bay are up on the unit and this is one of them.

Yeah, it's pretty terrible.

So today we're going to cover the presentation and diagnosis of preeclampsian help.

It says spectrum.

Then we'll talk about the treatment.

Specifically, we'll give you pearls around BP and volume management, all things magnesium for seizure

prophylaxis, how to manage those seizures when they actually rear their ugly heads. And then we'll talk about

specifics when it comes to help syndrome, fetal monitoring and delivery, and then some other

issues that we need to keep in the forefront of our mind. So Josh, presentation and diagnosis.

I'm at 19 weeks and five days. There's no way I have a clamsia, right? Or preeclampsia.

Exactly. At the stroke of midnight, you're going to get preclampsia. This is one thing

where in the ICU, we have an advantage where our patients are pre-screens for us. So I would say

basically any pregnant patient getting admitted to the ICU, I kind of assume that they have

preeclampsia until proven otherwise. I think every pregnant woman walking in the ICU needs to be considered for this.

I think the tricky part two is that you can get this postpartum. So up to four to six weeks

postpartum you can get this and that's going to be less obvious because they're not going to

be pregnant. Some common risk factors there to think about age over 35, obese or patients with obstructive sleep apnea,

a history of preeclampsia, obviously, or any other history of renal disease, hypertension,

or diabetes, and then remote histories of thromaphilia, lupilia, lupus, or antifosolid

...