25 results
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
with Pericardial ... larger right sided pericardial ... #pericardial #effusion ... Echocardiogram #ultrasound ... #Cardiology #A4c
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
caused by a massive pericardial ... effusion, cardiac ... Pulmonary embolism ... Tamponade: pericardial ... Signs: Normal cardiac
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Setup - Ultrasound ... pericarditis, Pericardial ... Tamponade - Pulmonary ... Cardiac surgery? ... #criticalcare #treatment
RUSH(ed) Exam - POCUS Protocol
Rapid Ultrasound in Shock and Hypotension
1. Parasternal Long Cardiac View
2. Apical Four-Chamber
Protocol Rapid Ultrasound ... in Shock and Hypotension ... Pulmonary View ... Pulmonary View ... #shock
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... • Obstructive: Pulmonary ... Pneumothorax, Cardiac ... Treatment Goals ... criticalcare #algorithm #treatment
Malignant Pericardial Effusion causing Cardiac Tamponade on Echocardiogram (A4c)
Hypotensive + respiratory distress. At first glance you
Malignant Pericardial ... Effusion causing Cardiac ... Echocardiogram (A4c ... This is cardiac ... Tamponade #clinical #ultrasound
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC SHOCK ... visualization with use of ultrasound ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... flow in all major epicardial
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
deep breathing Pulmonary ... motion (PVFM) Cardiac ... embolism • Cardiac ... ischemia • Pericardial ... • Hypovolemic shock
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... essential to determine treatment ... Pneumothorax, Cardiac ... Tamponade, Pulmonary ... pancreatitis, post-cardiac
Malignant Pericardial Effusion causing Cardiac Tamponade on Echocardiogram (S4c)
Hypotensive + respiratory distress. At first glance you
Malignant Pericardial ... Effusion causing Cardiac ... Echocardiogram (S4c ... This is cardiac ... Tamponade #clinical #ultrasound