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An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
or Think Low.” ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #High ... #Cardiogenic #Obstructive
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
call it, “Think High ... or Think Low.” ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #Low
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Lactate > 1.5 High ... CO / Low SVR: ... Spinal Cord Injury Low ... Arrhythmia • Obstructive ... #criticalcare #algorithm
Ureteral Calculus on Bladder POCUS
Echogenic calculus seen in the lower ureter. Twinkle artifact +. Ureteric jet
Ureteral Calculus on Bladder ... POCUS Echogenic ... seen. - partial obstruction ... to the flow of ... stone #clinical #color
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Differential Diagnosis Algorithm ... Unequal/DeIayed: • Obstructive ... • Hypovolemic shock ... tardus (delayed/slow ... regurgitation • High
Bladder Diverticulum on POCUS
Elderly male-high speed MVC with pelvic fracture.  FAST exam pelvic TRV window.
on POCUS Elderly ... male-high speed ... Doppler)-note fluid flow ... Diverticulum #Foley #POCUS ... #color #flow #doppler
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
Hypothermia - Protocol ... fluid warmer • Slow ... warmer • Warmed bladder ... CPR • Max 3 shocks ... management #treatment #algorithm
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
reduced blood flow ... of the ECG to focus ... characterized by a coved ... associated with a high ... or hypertrophic obstructive