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FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - ... The FALLS-protocol ... classification ... #Protocol #Shock ... #Algorithm
Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Cardiogenic Shock ... Forrester Classification ... Table and Mortality ... Class II) - Cold ... Class Ill) - Cold
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
Decision tree of FALLS-protocol ... understanding of the FALLS-protocol ... According to Weil classification ... in Emergency #FALLS ... #protocol #algorithm
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... CARDIOGENIC (Cold ... OBSTRUCTIVE (Cold ... HYPOVOLEMIC (Cold ... warm #wet #dry #table
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... Classification ... overdiuresis • Cold ... • MI, CHF • Cold ... tamponade • Cold
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 - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Diagnosis by Classification ... Anaphylaxis - Spinal cord ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Shock - Differential ... Diagnosis Algorithm ... - Distributive Shock ... • Neurogenic Cold ... Differential #Diagnosis #Algorithm
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Differential Diagnosis SHOCK ... Medications, Spinal Cord ... Sophia_Hayes_MD #Shock ... #Classification
Cold Urticaria
Prevalence - 0.05% in the population
Disease onset - Mostly 2nd to 4th decades of life
Causes
Cold Urticaria Prevalence ... skin contact with cold ... minutes after the cold ... , Hypotension, shock ... 10.1111/all.14674 #Cold