345 results
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
ICU • Consider inotropic ... Intubate • Consider inotropic ... CPR • Max 3 shocks ... Protocol #management #treatment ... #algorithm
Pressors and Inotropes

Norepinephrine
 • alpha1 > beta 1
 • Increase SVR > Inotropy
Vasopressin
 • V1
 •
Pressors and Inotropes ... Increase SVR > Inotropy ... 2, alpha 1 • Inotropy ... inhibitor • Inotropy ... pharmacology #comparison #shock
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
& Dry) is the treatment ... essentially Cardiogenic Shock ... patients need inotrope ... & Dry” is the treatment ... #differential #algorithm
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
Vasopressors and Inotropes ... first agent in shock ... line in septic shock ... Increases BP, SVR, not inotropic ... #Vasopressors #Inotropes
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Vasopressors and Inotropes ... : Distributive shock ... ), Cardiogenic shock ... , Shock where ↑ ... #Vasopressors #Inotropes
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and Inotropes ... pressor added in shock ... in refractory shock ... in setting of shock ... #Vasopressors #Inotropes
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... possible w/ early shock ... • Obstructive Shock ... Vasopressors, Inotropes ... #criticalcare #treatment
Shock - Pathophysiology 
Inadequate tissue perfusion to meet O2, nutrient requirements
1. Distributive Shock
2. Hypovolemic Shock
3. Cardiogenic
Shock - Pathophysiology ... Distributive Shock ... Hypovolemic Shock ... Cardiogenic Shock ... differential #diagnosis #algorithm
Initial Evaluation and Management of Septic Shock - Algorithm

Landsberg Manual @LandsbergManual - https://amzn.to/3rEtbK8

#Septic #Shock #Sepsis #management
Management of Septic Shock ... - Algorithm Landsberg ... 3rEtbK8 #Septic #Shock ... management #diagnosis #Algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Dehydration Shock ... Treatment Goals ... #criticalcare #algorithm ... #treatment #management