23 results
Pulmonary Embolism: Odds Ratios for the ECG Components for the Risk of Hemodynamic Collapse or Death

Findings
Pulmonary Embolism ... Ratios for the ECG Components ... Predict Circulatory Shock ... From Pulmonary ... S1Q3T3 #Predictive #Diagnosis
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Diagnosis by Classification ... contractility) - Acute MI ... flow) - Massive pulmonary ... #Differential #Diagnosis ... Classification #Table
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... Cardiogenic: Acute MI ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... management #comparison #table
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... Endocarditis - Post-MI ... Cardiogenic #Comparison #Table ... #Diagnosis #Features
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Cold and Dry) • Pulmonary ... failure from massive pulmonary ... embolism or severe pulmonary ... Classification #Types #diagnosis ... warm #wet #dry #table
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... ), LV Failure (MI ... Valves (wide open MR ... Cardiac Tamponade, Pulmonary ... #diagnosis #differential
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... possible w/ early shock ... Tamponade - Pulmonary ... - MI, arrhythmia ... #Diagnosis #Management
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... Hemodynamics (Stable ... Transient Hypotension, Shock ... @nickmmark #Pulmonary ... prognostication #diagnosis
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
However, when the diagnosis ... or the type of shock ... severe cardiogenic shock ... #Diagnosis #PACatheter ... #Differential #Table
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
mortality in inferior MI ... with cardiogenic shock ... or hypovolemic shock ... Ahmed Ghoneem, MD MSc ... artery #catheter #diagnosis