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An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm ... #Hypovolemic #Distributive ... #Shock
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Diagnosis Algorithm ... Extremities - Distributive ... • Neurogenic Cold ... Decompensated Distributive ... #causes
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
END-ORGAN DYSFUNCTION ... failure, and death DISTRIBUTIVE ... CARDIOGENIC (Cold ... OBSTRUCTIVE (Cold ... warm #wet #dry #table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Intractable vomiting Distributive ... Anaphylaxis - Spinal cord ... exacerbation (any cause ... Classification #Table
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic ... Differential Diagnosis Algorithm ... • Diastolic Dysfunction ... Artery Disease • Stable ... #Causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... death -> end-organ dysfunction ... Ext: warm vs. cold ... /flank edema) Distributive ... #differential #causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... death -> end-organ dysfunction ... Ext: warm vs. cold ... /flank edema) Distributive ... #differential #causes
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... event, follow ACC algorithm ... with valvular dysfunction ... or LV dysfunction ... perioperative #Risk #Evaluation
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
are excellent at evaluating ... essentially Cardiogenic Shock ... the determined cause ... #differential #algorithm ... cardiology #treatment #table