30 results
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
Tamponade in a Shock ... how the heart collapses ... good enough at diagnosing ... @EM_RESUS #Clinical ... Echocardiogram #Cardiac
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
American College of Critical ... Care Medicine algorithm ... maintain normal perfusion ... lesions), and cardiac ... #Shock #Algorithm
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential Diagnosis ... Algorithm Unequal ... pressure >10mmHg: • Cardiac ... • Hypovolemic shock ... followed by rapid collapse
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Consider IL NS/LR infusion ... Cardiac surgery? ... #Diagnosis #Management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Pneumothorax, Cardiac ... #Differential #Diagnosis ... #criticalcare #algorithm ... #treatment #management
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... infarction, following cardiac ... pneumothorax, cardiac ... Classification #Types #diagnosis ... #management #cold
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... performed) • Clinical ... • Cardiogenic shock ... , sudden cardiac ... death Management
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... infarction, following cardiac ... pneumothorax, cardiac ... Classification #types #diagnosis ... #management #criticalcare
SCAI Pyramid of Cardiogenic Shock Classification
E - Extremis - A patient experiencing cardiac arrest with ongoing
of Cardiogenic Shock ... patient experiencing cardiac ... volume to restore perfusion ... patient who has clinical ... Classification #ABCDEs #diagnosis
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... Manage acute cardiac ... HF, Cardiogenic shock ... #Myocarditis #diagnosis ... #management #cardiology