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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
overdiuresis • Cold ... CARDIOGENIC 16% • MI, CHF ... • Cold and Wet ... tamponade • Cold ... #diagnosis #differential
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... tachycardia, dyspnea, cold ... CARDIOGENIC (Cold ... OBSTRUCTIVE (Cold ... #management #cold
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Medications, Spinal Cord ... Decompensated CHF ... , CVP > 12 • Pulmonary ... Losses, Third Spacing
Shock - Differential Diagnosis by Classification

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