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Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Cardiogenic Shock ... Table and Mortality ... Class II) - Cold ... Class Ill) - Cold ... #CHF #Diagnosis
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... tachycardia, dyspnea, cold ... CARDIOGENIC (Cold ... #cold #warm #wet ... #dry #table
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... tachycardia, dyspnea, cold ... beriberi CARDIOGENIC (Cold ... ring OBSTRUCTIVE (Cold ... cardiomyopathy HYPOVOLEMIC (Cold
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Medications, Spinal Cord ... Decompensated CHF ... , CVP > 12 • Pulmonary ... #Classification
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Diagnosis by Classification ... Anaphylaxis - Spinal cord ... flow) - Massive pulmonary ... Differential #Diagnosis #Classification ... #Table #CriticalCare
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 - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Medications, Spinal Cord ... Decompensated CHF ... • Obstructive: Pulmonary ... #criticalcare #algorithm ... #treatment #management
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Diagnosis and Management ... Algorithm STEMI ... Limb ischemia Pulmonary ... , Dyspnea, H/O COPD ... , asthma, CF, PCP
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... non-congested profile (“Cold ... and congested (“Cold ... #treatment #table ... #heartfailure #chf
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... disease b) CHF ... event, follow ACC algorithm ... days before Pulmonary ... medical and surgical management