34 results
Cardiogenic Shock - Diagnosis and Management Summary
Identifying Hypoperfusion from Cardiac Dysfunction
 • Exam: Congestion vs Hypoperfusion
Cardiogenic Shock ... Diagnosis and Management ... Hypoperfusion from Cardiac ... @SkylerLentz #Cardiogenic ... #Shock #Diagnosis
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... and Survey 4) Workup ... - Pulmonary >> Acute ... resuscitation • Cardiogenic ... Cardiac surgery?
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Hypotension / Shock ... • Severe bum Cardiogenic ... Dysrhythmia • Acute ... infarction • Acute ... Obstructive: • Cardiac
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
Cardiogenic Shock - Diagnostic Algorithm
Suspicion of cardiogenic shock: Hypoperfusion with suspected cardiac etiology

#Cardiogenic #Shock #Diagnosis #Algorithm
Cardiogenic Shock ... shock: Hypoperfusion ... with suspected cardiac ... #Shock #Diagnosis ... #Algorithm #workup
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Rapid Response Management ... directed approach • Cardiogenic ... Diagnosis and Workup ... #Hypotension #Management ... #criticalcare #Shock
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... Anaphylaxis - Post-cardiac ... cardiomyopathy Acute ... #Distributive #Cardiogenic
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Neurogenic • Cardiogenic ... : Acute MI, Acute ... inopressors #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 ... Manage chronic cardiac ... HF, Cardiogenic ... shock, Arrythmias ... Myocarditis #diagnosis #management
Extrapulmonary manifestations of COVID-19
 • Neurologic: Headaches, Dizziness, Encephalopathy, Guillain-Barré, Ageusia, Myalgia, Anosmia, Stroke
 • Renal:
Stroke • Renal: Acute ... thrombosis • Cardiac ... arrhythmias, Cardiogenic ... shock, Myocardial ... ischemia, Acute