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FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - ... The FALLS-protocol ... classification ... Diagnosis #FALLS #Protocol ... #Shock #Algorithm
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
tree of FALLS-protocol ... assessment of Shock ... According to Weil classification ... , i.e. septic shock ... #algorithm #Lung
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
- Low CO and therefore ... #Classification ... #diagnosis #management ... #differential #causes ... #classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
- Low CO and therefore ... #Classification ... #diagnosis #management ... #differential #causes ... #classification
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Framework MAP = CO ... findings based on cause ... uw_IMresidency #Shock ... Differential #Diagnosis #table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Diagnosis by Classification ... exacerbation (any cause ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
first agent in shock ... • Higher doses cause ... line in septic shock ... cAMP/cGMP • Causes ... Pharmacology #Summary #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Lactate > 1.5 High CO ... Cord Injury Low CO ... #criticalcare #algorithm ... #treatment #management
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... (mild ↑CO) - Side ... , Shock where ↑ ... Bradyarrhythmias, Some cases ... Inotropes #comparison #table
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Shock - Differential ... Diagnosis by Classification ... bradycardia • Sinus pauses ... Differential #Diagnosis #Classification ... #Table #Causes