1480 results
CULPRIT-SHOCK Visual Abstract Infographic

PCI Strategies in Patients with Acute Myocardial Infarction and Cardiogenic Shock

https://www.nejm.org/doi/full/10.1056/NEJMoa1710261

CONCLUSIONS:  Among
CULPRIT-SHOCK Visual ... and Cardiogenic Shock ... with cardiogenic shock ... underwent PCI of the culprit
Five Categories of Shock According to Primary Treatment of Causes and Problems

#Shock #Categories #Classification #Differential #Causes
Categories of Shock ... According to Primary Treatment ... and Problems #Shock
Approach to Gout
Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals
Treatment:
 • Weight loss, diet, d/c culprit
birefringent crystals Treatment ... loss, diet, d/c culprit ... Acute and chronic treatment ... diagnosis #management #treatment
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Dehydration Shock ... Treatment Goals ... Sophia_Hayes_MD #Shock ... criticalcare #algorithm #treatment
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
patient has common culprits ... Time + minimize culprit
Shock - Pathophysiology 
Inadequate tissue perfusion to meet O2, nutrient requirements
1. Distributive Shock
2. Hypovolemic Shock
3. Cardiogenic
Shock - Pathophysiology ... Distributive Shock ... Hypovolemic Shock ... Cardiogenic Shock ... Obstructive Shock
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... possible w/ early shock ... • Obstructive Shock ... • Hypovolemic Shock ... #criticalcare #treatment
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... line for septic shock ... ), Cardiogenic shock ... : Distributive shock ... , Shock where ↑
Delirium: Top Tips

1. LOOK CAREFULLY FOR DELIRIUM 
2. HARNESS THE POWER OF THE FAMILY 
3. FIND/STOP
FIND/STOP CULPRIT
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Shock - Differential ... - Distributive Shock ... - Cardiogenic Shock ... - Obstructive Shock ... - Hypovolemic Shock