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Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Cardiogenic Shock ... Classification Table ... Mortality - Warm & Dry ... & Dry (Forrester ... Classification #CHF
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... neurogenic • Warm and Dry ... and Dry CARDIOGENIC ... 16% • MI, CHF ... and Dry #Shock
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
DISTRIBUTIVE (Warm and Dry ... and Dry) • Pulmonary ... and Dry) • Hemorrhagic ... #warm #wet #dry ... #table
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Medications, Spinal Cord ... Decompensated CHF ... Dehydration Shock ... #criticalcare #algorithm
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Anaphylaxis - Spinal cord ... a.k.a. neurogenic shock ... pneumothorax Dr ... Classification #Table
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Differential Diagnosis Algorithm ... Artery Disease • Stable ... • Asthma • COPD ... Pneumonia • ARDS • COPD ... Interstitium • ILD • CHF
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Arrhythmias / CHB ... underlying etiology Dr ... management #comparison #table
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 • Chronic Myocardial Injury: End
Diagnosis and Workup Algorithm ... Pre-Coronarv): Shock ... Tachycardia-induced HF ... Occlusion • Stable ... CAD Dr.
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
SVT - Management Algorithm ... Monitors, Pads AP Stable ... Signs of shock or ... 2 J/kg - Dr. ... tachycardia #Management #Algorithm
Summary of Coagulation Deficiencies
Inherited:
 • Hemophilia A - Deficiency of Factor VIII
 • Hemophilia B -
celiac disease, CF ... Acute DIC - Septic shock ... leukemia - Dr ... Deficiencies #Summary #table