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
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High SVR: • Cardiogenic ... Pneumothorax, Cardiac ... Treatment Goals ... Differential #Diagnosis #criticalcare ... #management
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 - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... - Pulmonary >> Acute ... resuscitation • Cardiogenic ... #Summary #criticalcare ... #treatment #workup
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
ï‚· Ischemic Symptoms
ï‚· 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 ... HF, Cardiogenic ... shock, Arrythmias ... Low voltage Treatment ... 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
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... 4 categories: cardiogenic ... Pneumothorax, Cardiac ... pancreatitis, post-cardiac ... guyton #curves #criticalcare
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
myxedema, beriberi CARDIOGENIC ... insufficiency, acute ... pneumothorax, cardiac ... types #diagnosis #management ... #criticalcare #
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... drained if causing acute ... Revascularization, treatment ... for acute MI if ... #CHF #Shock #Cardiogenic