15 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
rupture, VSD, etc ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... #management #comparison ... #table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
contractility) - Acute ... exacerbation (any cause ... flow) - Massive pulmonary ... Classification #Table ... #CriticalCare
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
class (30-day all cause ... Transient Hypotension, Shock ... prognostication #diagnosis ... #management #stratification ... #criticalcare #
Auto-PEEP 
What is Auto-PEEP?
 • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
maneuver on the ventilator ... • In acute scenario ... AutoPEEP #PEEP #pulmonary ... #diagnosis #management ... #criticalcare #
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... consistent with pulmonary ... there is no clear cause ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... heart failure, acute ... findings based on cause ... #table #comparison ... #criticalcare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Tamponade - Pulmonary ... >> Acute PE, Tension ... #Diagnosis #Management ... #Summary #criticalcare
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
for Three Common Causes ... adequate ventilation ... pressure (PEEP) for pulmonary ... #Shock #Management ... #CriticalCare
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
- Differential Diagnosis ... hypoxemia/Sepsis etc ... cardiac output - Acute ... pulmonary edema ... peritonitis - Acute
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
and Management ... (e.g. incidental ... Pulmonary: dyspnea ... sarcoidosis Pulmonary ... #Management #Signs