19 results
Cardiogenic Shock - Diagnosis and Management Summary
Identifying Hypoperfusion from Cardiac Dysfunction
 • Exam: Congestion vs Hypoperfusion
Cardiogenic Shock ... Hypoperfusion from Cardiac ... Diagnostic Studies • POCUS ... @SkylerLentz #Cardiogenic ... #Shock #Diagnosis
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
High SVR: • Cardiogenic ... Decompensated CHF ... Pneumothorax, Cardiac ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Spinal Cord Injury Cardiogenic ... Decompensated CHF ... Pneumothorax, Cardiac ... Diagnosis #Types #criticalcare
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
assessment of Shock ... classification, cardiac ... obstructive, then cardiogenic ... #Pulmonology #CriticalCare ... #POCUS
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... Neurogenic • Cardiogenic ... : Acute MI, Acute ... Arrhythmias / CHB ... inopressors #diagnosis #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... - Pulmonary >> Acute ... resuscitation • Cardiogenic ... Cardiac surgery? ... #Summary #criticalcare
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ... INCLUSION CRITERIA Acute ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... DCSI #Initiative #Management
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Manage chronic cardiac ... HF, Cardiogenic ... shock, Arrythmias ... Myocarditis #diagnosis #management
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... pressure, pallor Cardiogenic ... heart failure, acute ... uw_IMresidency #Shock ... table #comparison #criticalcare
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... drained if causing acute ... treatment for acute ... #CHF #Shock #Cardiogenic ... HeartFailure #Cardiology #Management