16 results
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... Adrenalin - "Epi" - ACLS ... ), Symptomatic bradycardia ... - Symptomatic bradycardia ... comparison #table #pharmacology
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... , Shock where ↑ ... effects: Reflex bradycardia ... Can be used in all ... comparison #table #pharmacology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Consider IL NS/LR infusion ... Setup - Ultrasound ... and Survey 4) Workup ... criticalcare #treatment #workup
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Bradycardia - Differential ... Glucose/Temp • ACS ... • Bradycardia ... blocking agent • Shock ... Sotalol • Propofol infusion
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC SHOCK ... INITIATIVE ALGORITHM ... visualization with use of ultrasound ... TIMI III flow in all ... #Algorithm #DCSI
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 • Chronic Myocardial Injury: End
Non-ACS Myocardial ... Diagnosis and Workup ... Algorithm • ... Pre-Coronarv): Shock ... Differential #Diagnosis #Algorithm
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
Intraoperative Bradycardia ... in Anaesthesia Bradycardia ... reservoir bag and APL ... rate, rhythm, perfusion ... Diagnosis #Management #Workup
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... edema - Large effusion ... nitroglycerine infusion ... (no B-lines on ultrasound ... NSAlDs, ACE-inhibitors
Orthopedic Emergencies
Compartment Syndrome
 • An increase in compartment pressure to the point where tissue perfusion is
point where tissue perfusion ... - Remove all ... (HBOT) Spinal Shock ... characterised by bradycardia ... vs Neurogenic Shock
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 • Sudden alteration in
collapse: sinus bradycardia ... tachyarrhythmias may all ... anaesthetic (remember infusion ... Diagnosis #Management #Workup