46 results
Apical Approach Pericardiocentesis on POCUS Echocardiogram

Apical approach had best pocket + good distance away from lung
Pericardiocentesis on POCUS Echocardiogram ... in vitals and shock ... Pericardiocentesis #POCUS #Echocardiogram ... #A4c #clinical ... #cardiology #effusion
Causes, classification and compensatory responses to shock.

Shock can be caused by any pathological process that leads
Shock can be caused ... for example, in sepsis ... The cause of shock ... is often clinically ... #Differential #
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Vascular tone): • Sepsis ... uw_IMresidency #Shock ... #Differential # ... Diagnosis #table
Hyperglycemia - Differential Diagnosis Algorithm
Diabetes Mellitus:
 • Impaired Glucose Tolerance
 • Type I Diabetes
 • Type
Hyperglycemia - Differential ... agonists • Others Critical ... Surgery, Burns, Sepsis ... ) • Shock • ... #HighGlucose #Differential
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Cardiovascular MRI Clinical ... Abnormal ECG, echocardiogram ... • Cardiogenic shock ... Diagnosis #Management #Cardiology
UNDIFFERENTIATED SHOCK

1. Echo is a powerful differentiator 
2. Echo ALL shock patients!
Sam Ghali @EM_RESUS
#Clinical #POCUS #Echocardiogram
UNDIFFERENTIATED SHOCK ... Ghali @EM_RESUS #Clinical ... #POCUS #Echocardiogram ... #Differential # ... Table #Undifferentiated
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 • Chronic Myocardial Injury: End
Elevated Troponin Differential ... Pre-Coronarv): Shock ... Post-Coronarv): Stress (ie Sepsis-induced ... Occlusion • Stable ... Elevated #Troponin #Differential
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
in Cardiogenic shock ... Patient was in shock ... established, but died on table ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... OnePager Summary Shock ... Obstruction (HOCM, critical ... DISTRIBUTIVE: Sepsis ... #diagnosis #differential
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... of hypotension Shock ... death Common Clinical ... Inflammatory: infectious (sepsis ... #criticalcare #differential