19 results
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Consider IL NS/LR infusion ... Setup - Ultrasound ... and Survey 4) Workup ... Management #Summary #criticalcare ... #treatment #workup
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Common Causes of Shock ... HEMORRHAGIC SHOCK ... Ameliorate increased work ... oxygenation; remove work ... #CriticalCare
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... , Shock where ↑ ... Can be used in all ... comparison #table #pharmacology ... #criticalcare
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... Adrenalin - "Epi" - ACLS ... in refractory shock ... Inotropes #management #criticalcare ... comparison #table #pharmacology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... edema - Large effusion ... (no B-lines on ultrasound ... NSAlDs, ACE-inhibitors ... #HeartFailure #Cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC SHOCK ... ) Cardiogenic Shock ... visualization with use of ultrasound ... TIMI III flow in all ... Initiative #Management #Cardiology
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
management - RUQ ultrasound ... as for septic shock ... pain-dose ketamine infusion ... Diagnosis #Management #CriticalCare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... essentially Cardiogenic Shock ... algorithm #management #cardiology ... heartfailure #chf #criticalcare ... icu #clinical #pharmacology
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Glucose/Temp • ACS ... blocking agent • Shock ... Sotalol • Propofol infusion ... diagnosis #causes #cardiology
Extent of Myocardial Ischemia on Positron Emission Tomography and Survival Benefit With Early Revascularization

1. In this
PET myocardial perfusion ... All rights reserved ... No works may be ... VisualAbstract #cardiology