55 results
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
massive pericardial effusion ... , cardiac tamponade ... Tamponade: pericardial effusion ... Signs: Normal cardiac ... #Comparison #criticalcare
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... with Pericardial Effusion ... sided pericardial effusion ... #pericardial #effusion ... ultrasound #Cardiology #A4c
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... Tachyarrhythmias, Cardiac ... Tachyarrhythmias, Cardiac ... Tachyarrhythmias, Cardiac ... #pharmacology #criticalcare
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
to next step if shock ... maintain normal perfusion ... lesions), and cardiac ... #Shock #Algorithm ... #CriticalCare #
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Consider IL NS/LR infusion ... dilated IVC - Cardiac ... Cardiac surgery? ... Management #Summary #criticalcare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... → tension PTX, cardiac ... release syndrome, infusion ... uw_IMresidency #Shock ... table #comparison #criticalcare
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Common Causes of Shock ... HEMORRHAGIC SHOCK ... CARDIOGENIC SHOCK ... SEPTIC SHOCK • ... #CriticalCare
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
assessment of Shock ... classification, cardiac ... , i.e. septic shock ... #Pulmonology #CriticalCare ... #Shock #Fluids
Apical Approach Pericardiocentesis on POCUS Echocardiogram

Apical approach had best pocket + good distance away from lung
in vitals and shock ... Echocardiogram #A4c ... clinical #cardiology #effusion
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
shock. ... diminished tissue perfusion ... infarction, following cardiac ... pneumothorax, cardiac ... diagnosis #management #criticalcare