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Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Cardiogenic Shock ... Table and Mortality ... Class II) - Cold ... Class Ill) - Cold ... #CHF #Diagnosis
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... overdiuresis • Cold ... • Cold and Wet ... tamponade • Cold ... #Types #Classification
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... CARDIOGENIC (Cold ... OBSTRUCTIVE (Cold ... HYPOVOLEMIC (Cold ... warm #wet #dry #table
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... tachycardia, dyspnea, cold ... beriberi CARDIOGENIC (Cold ... ring OBSTRUCTIVE (Cold ... cardiomyopathy HYPOVOLEMIC (Cold
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Medications, Spinal Cord ... Decompensated CHF ... #Classification ... Differential #Diagnosis #Types
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Diagnosis by Classification ... Anaphylaxis - Spinal cord ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Differential Diagnosis Algorithm ... Artery Disease • Stable ... • Asthma • COPD ... Pneumonia • ARDS • COPD ... Interstitium • ILD • CHF
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Medications, Spinal Cord ... Decompensated CHF ... Dehydration Shock ... #criticalcare #algorithm
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
non-congested profile (“Cold ... and congested (“Cold ... #differential #algorithm ... cardiology #treatment #table ... #heartfailure #chf
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... event, follow ACC algorithm ... Stable patients ... Risk Stratify Type ... What is the type