39 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... - Management Checklist ... Evaluation - EKG ... treatment for acute MI ... HeartFailure #Cardiology #Management
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... contractility) - Acute MI ... flow) - Massive pulmonary ... #Differential #
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... • Obstructive: Pulmonary ... ) UOP > 0.5 cc/kg ... #Differential # ... algorithm #treatment #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... - MI, arrhythmia ... #Diagnosis #Management
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... gallop • Abnormal ECG ... • Cardiogenic shock ... cardiac death Management ... Myocarditis #Diagnosis #Management
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... Common Causes of Shock ... HEMORRHAGIC SHOCK ... pressure (PEEP) for pulmonary ... #Shock #Management
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Cardiogenic: Acute MI ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Cold and Dry) • Puimonary ... failure from massive pulmonary ... embolism or severe pulmonary ... types #diagnosis #management ... #criticalcare #differential
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... thread for POCUS Pulmonary
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... ), LV Failure (MI ... Valves (wide open MR ... Cardiac Tamponade, Pulmonary ... #diagnosis #differential