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Cardiogenic Shock - Diagnosis and Management Summary Identifying Hypoperfusion from Cardiac Dysfunction • Exam: Congestion vs Hypoperfusion
Cardiogenic Shock ... Diagnosis and Management ... Studies • POCUS Management ... @SkylerLentz #Cardiogenic ... Shock #Diagnosis #Management
Summary Table of how the 4 types of shock affect the circulatory system: - Hypovolemic
Hypovolemic - Cardiogenic ... #Diagnosis #Management ... #Hypovolemic #Cardiogenic
Hypotension - Rapid Response Management 1) Ask for vitals en route 2) Immediate Assessment 3) Examine for a cause:
Rapid Response Management ... directed approach • Cardiogenic ... #Hypotension #Management
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Heart Failure & Cardiogenic ... Shock - Management ... intubation) in cardiogenic ... (b) Refractory cardiogenic ... HeartFailure #Cardiology #Management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC ... STEMI or NSTEMI) Cardiogenic ... #Detroit #Cardiogenic ... DCSI #Initiative #Management
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Elevated troponin • Cardiogenic ... cardiac death Management ... Myocarditis #Diagnosis #Management
Vasopressors and Inotropes • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Dobutamine - Dobutrex - Cardiogenic ... Milrinone - Primacor - Cardiogenic ... Vasopressors #Inotropes #management
Non-Invasive Positive Pressure Ventilation Indications: • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
↓ mortality), Cardiogenic ... Ventilation #diagnosis #management
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
Neurogenic • Cardiogenic ... inopressors #diagnosis #management
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
High SVR: • Cardiogenic ... algorithm #treatment #management
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