67 results
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... for Three Common Causes ... Ameliorate increased work ... oxygenation; remove work ... #Shock #Management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Consider IL NS/LR infusion ... Setup - Ultrasound ... and Survey 4) Workup ... #Diagnosis #Management
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Rapid Response Management ... Examine for a cause ... Diagnosis and Workup ... #Hypotension #Management ... #criticalcare #Shock
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... , Shock where ↑ ... Bradyarrhythmias, Some cases ... Can be used in all ... comparison #table #pharmacology
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... Adrenalin - "Epi" - ACLS ... in refractory shock ... Vasopressors #Inotropes #management ... comparison #table #pharmacology
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... Plan definitive management ... of underlying cause ... Checklist #Diagnosis #Management ... #Workup
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... edema - Large effusion ... (no B-lines on ultrasound ... NSAlDs, ACE-inhibitors ... HeartFailure #Cardiology #Management
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
and Inotropes - Pharmacology ... first agent in shock ... • Higher doses cause ... line in septic shock ... #Summary #management
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
disease - Renal ultrasound ... Duplex Doppler ultrasound ... ) or IV saline infusion ... aldosterone at 4 h of infusion ... #Screening #Workup
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
class (30-day all ... cause mortality ... Transient Hypotension, Shock ... prognostication #diagnosis #management