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Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Stages: 1. ... diminished tissue perfusion ... ) • Septic → dysregulated ... and Dry) • Hemorrhagic ... commonly due to trauma
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Stages: 1. ... diminished tissue perfusion ... ) • Septic → dysregulated ... and Dry): • Hemorrhagic ... commonly due to trauma
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
SIRS 1) Prepare ... Consider IL NS/LR infusion ... Setup - Ultrasound ... >7 - Non-hemorrhagic ... - Septic
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... Neuro: altered mental ... Ext: warm vs. cold ... O2 delivery • Hemorrhagic ... bleeding out (trauma
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... Neuro: altered mental ... Ext: warm vs. cold ... O2 delivery • Hemorrhagic ... bleeding out (trauma
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Pediatric Trauma ... Life-threatening hemorrhage ... pneumothorax C - Hemorrhagic ... box below) • Contact ... #Pediatrics #Trauma
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
typically fall into 1 ... fatigue, altered mental ... importantly, bedside ultrasound ... congested (“Cold ... essentially Cardiogenic Shock
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... >LAP as atrial septum ... stretched PFO or ASD ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
w/contrast ---> ... hemorrhagic shock ... with hemorrhage ... retroperitoneal) 1. ... #Injury #clinical