12 results
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
Pericardial Tamponade ... in a Shock Patient ... how the heart collapses ... EM_RESUS #Clinical #POCUS ... Echocardiogram #Cardiac
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... contractility) - Acute ... pulmonary embolism - Pericardial ... #Differential # ... Classification #Table #CriticalCare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... pericarditis, Pericardial ... - Pulmonary >> Acute ... Cardiac surgery? ... #Summary #criticalcare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... heart failure, acute ... uw_IMresidency #Shock ... #Differential # ... table #comparison #criticalcare
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Abnormalities - Differential ... pressure >10mmHg: • Cardiac ... tamponade • AECOPD/ Acute ... • Hypovolemic shock ... followed by rapid collapse
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Pneumothorax, Cardiac ... #Differential # ... Diagnosis #criticalcare ... algorithm #treatment #management
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
insufficiency, acute ... pneumothorax, cardiac ... types #diagnosis #management ... #criticalcare # ... differential
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INCLUSION CRITERIA Acute ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... flow in all major epicardial ... DCSI #Initiative #Management
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... perfusion - Cardiac ... failure - Low cardiac ... output - Acute ... peritonitis - Acute
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
important to recognize Acute ... essentially Cardiogenic Shock ... #diagnosis #differential ... #algorithm #management ... heartfailure #chf #criticalcare