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

Findings
Pulmonary Embolism ... Ratios for the ECG ... Meta‐analysis #ECG ... #Pulmonary #Embolism ... #AcutePE #HighRisk
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
MI, Acute Heart ... Arrhythmias / CHB • Hypovolemic ... Pericardial tamponade, Pulmonary ... embolism 2) Understand ... inopressors #diagnosis #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
• Obstructive: Pulmonary ... Embolism, Tension ... compression • Hypovolemic ... ) UOP > 0.5 cc/kg ... algorithm #treatment #management
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
insufficiency, acute ... embolism or severe ... pulmonary hypertension ... cardiomyopathy HYPOVOLEMIC ... types #diagnosis #management
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
insufficiency, acute ... embolism or severe ... pulmonary hypertension ... cardiomyopathy HYPOVOLEMIC ... Types #diagnosis #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... drained if causing acute ... suggests total body hypovolemia ... treatment for acute ... HeartFailure #Cardiology #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 ... >> Acute PE, Tension ... Pneumothorax • Hypovolemic
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
/ hypoxemia -> focus ... - Hypovolemia ... cardiac output - Acute ... pulmonary edema ... peritonitis - Acute
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... ECG is vital while ... patient causing hypovolemia ... essentially Cardiogenic Shock ... differential #algorithm #management
Perform computations online at:
ScyMed.com
6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

→
↑
RV
02 PVR SVR Hypovolemic ... shock ↓ ↓ ↓ ... ↑ Cardiogenic shock ... Embolism ↓ ↑ ... LCWI 3.4-4.2 kg