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differential cardiology classification algorithm table causes treatment comparison types clinical pharmacology summary ultrasound acidosis criteria echocardiogram foamed hypotension lactate lactic
Cardiogenic Shock - Diagnosis and Management Summary Identifying Hypoperfusion from Cardiac Dysfunction • Exam: Congestion vs Hypoperfusion
Cardiogenic Shock ... Hypoperfusion from Cardiac ... Studies • POCUS ... @SkylerLentz #Cardiogenic ... #Shock #Diagnosis
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 Classification Types - Pathophysiology Comparison Obstructive Shock: • Obstructive shock is characterized by a blockage in
Cardiogenic Shock ... : • Cardiogenic ... by low cardiac ... #Comparison #criticalcare ... #diagnosis #classification
Hypotension / Shock Differential Diagnosis Algorithm Hypovolemic: • Poor oral intake • Hemorrhage • Renal loss •
Hypotension / Shock ... Differential Diagnosis ... • Severe bum Cardiogenic ... Obstructive: • Cardiac ... #Differential #Diagnosis
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Diagnosis by Classification ... ) Cardiogenic ( ... contractility) - Acute ... #Differential #Diagnosis ... Classification #Table #CriticalCare
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... - Pulmonary >> Acute ... resuscitation • Cardiogenic ... #Diagnosis #Management ... #Summary #criticalcare
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Diagnosis Framework ... High SVR: • Cardiogenic ... Pneumothorax, Cardiac ... #criticalcare # ... algorithm #treatment #management
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... pressure, pallor Cardiogenic ... heart failure, acute ... table #comparison #criticalcare
Hypotension - Rapid Response Management 1) Ask for vitals en route 2) Immediate Assessment 3) Examine for a cause:
Rapid Response Management ... directed approach • Cardiogenic ... Obstructive 4) Diagnosis ... #criticalcare # ... Shock
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
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