23 results
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Hypovolemic shock ... Endocarditis - Post-MI ... chronic HTN - HOCM ... #Cardiogenic #Comparison ... #Table #Diagnosis
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Generally thought of as ... MICU, often used as ... , HOCM, etc ... criticalcare #summary #comparison ... #table #pharmacology
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
patients with HCM ... patients with HCM ... Can be used in all ... Vasopressors #Inotropes #comparison ... #table #pharmacology
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
), LV Failure (MI ... Valves (wide open MR ... Outflow Obstruction (HOCM ... , critical AS), ... #diagnosis #differential
Main types of autoimmune encephalitis in the ICU. 
Anti-NMDAR anti-N-methyl-d-aspartate receptor, ADEM acute disseminated encephalomyelitis, Anti-GFAP
cerebrospinal fluid, MRI ... electroencephalography, Abs ... #encephalitis #comparison ... #table #neurology
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... failure, acute MI ... #Differential # ... Diagnosis #table ... #comparison #criticalcare
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 • Chronic Myocardial Injury: End
Non-ACS Myocardial ... Elevated Troponin Differential ... Heart Disease (ie HCM ... Pre-Coronarv): Shock ... Occlusion • Stable
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
Autoimmune (SLE/APLS ... heart valves • MRI ... often seen • MRI ... #Endocarditis #comparison ... Marantic #diagnosis #table
Evolution of MRI Findings in Stroke

MR images at five subsequent time points in a 67-year-old woman
Evolution of MRI ... it possible to differentiate ... hyperintense at all ... #Stroke #CVA #Clinical ... Interpretation #Findings #Neurology
UNDIFFERENTIATED SHOCK

1. Echo is a powerful differentiator 
2. Echo ALL shock patients!
Sam Ghali @EM_RESUS
#Clinical #POCUS #Echocardiogram
UNDIFFERENTIATED SHOCK ... Echo ALL shock patients ... Ghali @EM_RESUS #Clinical ... Echocardiogram #Differential ... #Table #Undifferentiated