29 results
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... Cardiac Tamponade, Pulmonary ... Obstruction (HOCM, critical ... thyrotoxicosis), Medications ... guyton #curves #criticalcare
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... , HOCM, etc ... Vasopressors #Inotropes #management ... #criticalcare # ... #pharmacology #indications
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Failure, Toxins/Medications ... • Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... on scores and clinical ... Transient Hypotension, Shock ... prognostication #diagnosis #management ... stratification #criticalcare
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
American College of Critical ... goal-directed stepwise management ... #CriticalCare # ... Peds #Pediatrics ... #Sepsis #Management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... #Diagnosis #Management ... #Summary #criticalcare
Initial assessment and management of coma in pediatric population.

Airway - is it secure? 
Breathing — is
assessment and management ... Circulation - treat shock ... Scale Exposure - e.g ... Coma #Pediatrics #Peds ... #ABCs #CriticalCare
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
endocarditis w/ septic pulmonary ... spleen, brain) Indications ... Internet Book of Critical ... Endocarditis #checklist #criticalcare ... #diagnosis #management
Beta-Blocker Overdose/toxicity:

•	Bradycardia & hypotension (most common).
•	Myocardial depression & cardiogenic shock (severe overdoses). 
•	Ventricular dysrhythmias (Common with
& cardiogenic shock ... Sustained release meds ... Sotalol prolongs the QTc ... involving lipophilic medications ... (eg, propranolol
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... when possible (eg ... pressure (PEEP) for pulmonary ... #Shock #Management ... #CriticalCare