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FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - ... POCUS evaluation ... FALLS-protocol is ... classification ... #Algorithm
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
Decision tree of FALLS-protocol ... According to Weil classification ... in Emergency #FALLS ... #protocol #algorithm ... #Fluids #POCUS
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... Classification ... pancreatitis), GI losses ... CARDIOGENIC 16% • MI, CHF ... #Types #Classification
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Decompensated CHF ... Blood Loss, GI Losses ... #Classification ... Differential #Diagnosis #Types
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
undifferentiated shock ... is in impending shock ... / hypoxemia -> focus ... perfusion - shock ... classification
Type 2 Diabetes - Screening, Diagnosis and Management Algorithm
Lifestyle  Modifications (Diet and Exercise) -> Start
Type 2 Diabetes ... and Management Algorithm ... • Secondary Causes ... Pancreatic Disease (CF ... #DM2 #DMII #Classification
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ADHF typically fall ... are excellent at evaluating ... essentially Cardiogenic Shock ... #differential #algorithm ... #heartfailure #chf
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
dengue severity classification ... Leukopenia • Cases ... and no apparent focus ... Shock evidenced ... bleeding: based on evaluation
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... disease b) CHF ... ASA class If ... event, follow ACC algorithm ... What is the type