21 results
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
Pericardial Tamponade ... Watch how the heart ... @EM_RESUS #Clinical ... #POCUS #Echocardiogram ... #Cardiac #Tamponade
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup Algorithm ... life-threatening causes ... Pulmonary embolism • Cardiac ... tamponade • Esophageal ... Serial troponin; HEART
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Right-Sided Heart ... Differential Diagnosis Algorithm ... Cardiac Causes ... out Left-Sided Heart ... • Pericardial Tamponade
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Differential Diagnosis Algorithm ... beats: • Left heart ... pressure >10mmHg: • Cardiac ... tamponade • AECOPD ... #causes
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
failure): • Severe heart ... → tension PTX, cardiac ... tamponade, Vascular ... findings based on cause ... table #comparison #criticalcare
Cardiac tamponade - a swinging heart of electrical alternans on Echocardiogram - PSAX

- Ivan Stankovic, MD,
Cardiac tamponade ... - a swinging heart ... Ivan_Echocardio #Cardiac ... #tamponade #electrical ... #PSAX #clinical
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 ... lesions), and cardiac ... #Shock #Algorithm ... #CriticalCare #
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Diagnosis and Causes ... Clinical: Dyspnea ... Echocardiography, Cardiac ... Endomyocardial: Carcinoid Heart ... differential #cardiology #algorithm
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Pneumothorax, Cardiac ... Tamponade, Pulmonary ... pancreatitis, post-cardiac ... Losses (bums, heat ... guyton #curves #criticalcare
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... delivery • MI, Heart ... , Tension ptx, Tamponade ... management #Overview #criticalcare ... #differential #causes