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Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Cardiogenic Shock ... Table and Mortality ... I) - Warm & Wet ... Class II) - Cold ... Class Ill) - Cold
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
failure, toxins, spinal ... overdiuresis • Cold ... • MI, CHF • Cold ... and Wet OBSTRUCTIVE ... tamponade • Cold
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
cord injury • ... CARDIOGENIC (Cold ... OBSTRUCTIVE (Cold ... HYPOVOLEMIC (Cold ... diagnosis #management #cold
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
tachycardia, dyspnea, cold ... cord injury • ... beriberi CARDIOGENIC (Cold ... ring OBSTRUCTIVE (Cold ... cardiomyopathy HYPOVOLEMIC (Cold
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Diagnosis by Classification ... Anaphylaxis - Spinal ... cord trauma (a.k.a ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... • They must be able ... pts with severe COPD ... and asthma • Inotropes ... CT/MRI ($$$$) CORE
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... Ext: warm vs. cold ... and up), dry vs. wet ... failure, neurogenic/spinal ... #Classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... Ext: warm vs. cold ... and up), dry vs. wet ... failure, neurogenic/spinal ... #Classification
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
non-congested profile (“Cold ... and congested (“Cold ... Cardiogenic Shock ... #differential #algorithm ... cardiology #treatment #table