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Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Cardiogenic Shock ... Forrester Classification ... Table and Mortality ... Class II) - Cold ... Class Ill) - Cold
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... tachycardia, dyspnea, cold ... CARDIOGENIC (Cold ... #Classification ... warm #wet #dry #table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Diagnosis by Classification ... Anaphylaxis - Spinal cord ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
SVT - Management Algorithm ... AP Stable? ... Signs of shock or ... tachycardia #Management #Algorithm ... #peds #Pediatric
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... Ext: warm vs. cold ... anaphylaxis, toxins/meds ... #Classification ... differential #causes #classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... Ext: warm vs. cold ... anaphylaxis, toxins/meds ... #Classification ... differential #causes #classification
Estimated Medical Radiation Doses for 5 Year-Old Child

3-view ankle	0.0015 mSv	1/14th CXRs
2-view chest	0.02 mSv	1 CXRs
Anteroposterior and lateral
Doses for 5 Year-Old ... Doses #Imaging #ChestXRay ... Nuclear #Comparison #Table ... Testing #Study #Peds
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
functional status - Able ... metabolic equivalent able ... event, follow ACC algorithm ... Stable patients ... Cataract Plan for Meds
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
non-congested profile (“Cold ... and congested (“Cold ... essentially Cardiogenic Shock ... #differential #algorithm ... cardiology #treatment #table