14 results
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Differential Diagnosis SHOCK ... > 12 • Pulmonary ... Embolism, Tension ... Diagnosis #Types #criticalcare
Algorithm for Evaluation of Suspected Pulmonary Embolism #Diagnosis #EM #IM #PCC #PulmonaryEmbolism #Pulmonary #Embolism #DDimer #CTA
Algorithm for Evaluation ... of Suspected Pulmonary ... Embolism #Diagnosis ... #Embolism #DDimer ... #CTA #Algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... • Obstructive: Pulmonary ... Embolism, Tension ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup Algorithm ... Pneumothorax • Pulmonary ... embolism • Cardiac ... score for PE • CTA ... Pain #Diagnosis #Algorithm
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
Shock Classification ... Obstructive Shock ... Pulmonary embolism ... inferior vena cava ... #Comparison #criticalcare
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... Embolism, Pneumothorax ... ABG, STAT CXR, CTA ... Management #treatment #criticalcare
YEARS Algorithm for Pulmonary Embolism in Pregnancy

Using this protocol, PE was diagnosed in 4% of patients.
YEARS Algorithm ... for Pulmonary Embolism ... CTPA was avoided ... #Pulmonary #Embolism ... #AcutePE #Obstetrics
Causes of Ischemic Stroke - Differential Diagnosis Algorithm
Thrombosis - Atherosclerosis, Arterial Dissection, Fibromuscular Dysplasia
 - Large
Vessel - Lacunar Embolus ... infarction • Pulmonary ... embolus • ... effusion • Shock ... Ischemic #Stroke #CVA
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Gastric & Ovarian CA ... Viridans (Sanguinis, Mitis ... Cerebral > Splenic, pulmonary ... • Paradoxical emboli ... Regurgitation • Colon CA
Perform computations online at:
ScyMed.com
6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

→
↑
RV
Embolism ↓ ↑ ... m2 HR*SV VO2/Ca-vO2 ... PvO2*0.0031)| Ca-vO2 ... ext 20-30 % Ca-vO2 ... 280 mL/min CO*Ca-vO2