15 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
• Cardiogenic: Acute ... MI, Acute Heart ... Arrhythmias / CHB ... vasoactive drug pharmacology ... inopressors #diagnosis #management
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
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
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... drained if causing acute ... #Checklist #CHF ... #HeartFailure #Cardiology ... #Management
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
(Sens. 81% for acute ... effusions). 1/5 pts w/ acute ... Consider cardiac ... heartfailure #diagnosis #management ... #cardiology #pharmacology
HEART Score – A Tool For the ED The HEART score is an excellent tool that
with possible Acute ... admission for further workup ... Major Adverse Cardiac ... #Diagnosis #Management ... #Cardiology #HEART
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
essentially Cardiogenic Shock ... differential #algorithm #management ... #cardiology #treatment ... #heartfailure #chf ... icu #clinical #pharmacology