26 results
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
in a Shock Patient ... Watch how the heart ... good enough at diagnosing ... Echocardiogram #Cardiac ... #Effusion
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Cardiogenic (Intra-cardiac ... Obstructive (Extra-cardiac ... → tension PTX, cardiac ... tamponade, Vascular ... #table #comparison
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
- Differential Diagnosis ... Algorithm Pericardial ... • Effusion ... • Cardiac Tamponade ... Artery Disease • Stable
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Pneumothorax, Cardiac ... Tamponade, Severe ... Treatment Goals ... #criticalcare #algorithm
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
American College of Critical ... Care Medicine algorithm ... maintain normal perfusion ... lesions), and cardiac ... #Shock #Algorithm
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Algorithm Unequal ... beats: • Left heart ... pressure >10mmHg: • Cardiac ... tamponade • AECOPD ... • Hypovolemic shock
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
infarction, following cardiac ... decompensated heart ... pneumothorax, cardiac ... tamponade, constrictive ... warm #wet #dry #table
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... dilated IVC - Cardiac ... pericarditis, Pericardial Tamponade ... Cardiac surgery? ... #criticalcare #treatment
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... Pneumothorax, Cardiac ... Tamponade, Pulmonary ... pancreatitis, post-cardiac ... Losses (bums, heat
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Manage chronic cardiac ... HF, Cardiogenic shock ... Pericarditis, Tamponade ... Low voltage Treatment