12 results
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... depletion) - Distributive ... #Differential #Diagnosis ... Classification #Table ... #CriticalCare #
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
tree of FALLS-protocol ... sequentially rule out obstructive ... hypovolemic then distributive ... #Pulmonology #CriticalCare ... #POCUS
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Diagnosis by Classification ... Intractable vomiting Distributive ... contractility) - Acute MI ... Classification #Table ... #CriticalCare
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Classification DISTRIBUTIVE ... CARDIOGENIC 16% • MI ... Cold and Wet OBSTRUCTIVE ... Classification #diagnosis ... #differential #criticalcare
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
: cardiogenic, obstructive ... , distributive, ... Problem (↓ SVR): • DISTRIBUTIVE ... #diagnosis #differential ... guyton #curves #criticalcare
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
peritoneal, RP) Distributive ... Endocarditis - Post-MI ... LV outflow Obstruction ... Cardiogenic #Comparison #Table ... #Diagnosis #Features
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
• Distributive ... Cardiogenic: Acute MI ... Pancreatitis • Obstructive ... #inopressors #diagnosis ... management #comparison #table
Ultrasonographics Findings and Corresponding Interventions for the Four Broad Classifications of Shock: Hypovolemic, Distributive, Cardiogenic, Obstructive

#shock
: Hypovolemic, Distributive ... , Cardiogenic, Obstructive ... #shock #pocus ... classification #diagnosis ... #ultrasound #criticalcare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
failure, acute MI ... , S3, crackles Obstructive ... based on cause Distributive ... #table #comparison ... #criticalcare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Reverse • Obstructive ... - MI, arrhythmia ... • Distributive Shock ... #Summary #criticalcare