22 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
• Cardiogenic: Acute ... MI, Acute Heart ... Arrhythmias / CHB ... inopressors #diagnosis #management ... #comparison #table
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... and Survey 4) Workup ... - Pulmonary >> Acute ... Cardiac surgery? ... #Diagnosis #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 ... Myocarditis #diagnosis #management ... #cardiology #summary
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
pressure >10mmHg: • Cardiac ... tamponade • AECOPD/ Acute ... • Hypovolemic shock ... followed by rapid collapse ... Abnormalities #Disorders #Cardiology
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
infarction, following cardiac ... insufficiency, acute ... pneumothorax, cardiac ... Types #diagnosis #management ... warm #wet #dry #table
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 • Chronic Myocardial Injury: End
Diagnosis and Workup ... Pre-Coronarv): Shock ... Tachycardia-induced HF ... Distribution: Acute ... Occlusion • Stable
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 ... DCSI #Initiative #Management ... #Cardiology
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
& lower airway collapse ... exacerbation (often w/ acute ... COPD) • Other acute ... status • Won't Work ... #criticalcare #management
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
ISCHEMIA Trial - Management ... LMCA lesion -> Cardiac ... This is not for acute ... evaluation or management ... #Algorithm #Cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... drained if causing acute ... #Checklist #CHF ... #HeartFailure #Cardiology ... #Management