17 results
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Bedside Classification ... shock - Vomiting ... Anaphylaxis - Post-cardiac ... cardiomyopathy Acute ... #Classification
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
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... insufficiency, acute ... pneumothorax, cardiac ... #Classification ... Types #diagnosis #management
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... insufficiency, acute ... pneumothorax, cardiac ... #Classification ... types #diagnosis #management
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
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 ... Fulminant: - Acute ... HF, Cardiogenic shock ... Myocarditis #diagnosis #management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC SHOCK ... INCLUSION CRITERIA Acute ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... DCSI #Initiative #Management
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 ... heart-score-major-cardiac-events ... #Diagnosis #Management
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
perfusion - Cardiac ... failure - Low cardiac ... output - Acute ... peritonitis - Acute ... #typea #typeb #classification
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 • Sudden alteration in
Cardiovascular collapse ... problem. ❸ Call for cardiac ... Checklist #Diagnosis #Management ... #Workup