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Clinical Management for Three Common Causes of Shock HEMORRHAGIC SHOCK • Ensure adequate ventilation and oxygenation.
Clinical Management ... HEMORRHAGIC SHOCK ... pressure (PEEP) for pulmonary ... • Consider intraaortic ... #Shock #Management
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features • Bova score
Pulmonary Embolism ... on scores and clinical ... Transient Hypotension, Shock ... prognostication #diagnosis ... #management #stratification
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... #management #comparison
Shock Types - Classification State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Cold and Dry) • Puimonary ... failure from massive pulmonary ... embolism or severe pulmonary ... Classification #types #diagnosis ... #management #criticalcare
Shock Classification Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Cold and Dry) • Pulmonary ... failure from massive pulmonary ... embolism or severe pulmonary ... Classification #Types #diagnosis ... #management #cold
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... possible w/ early shock ... Tamponade - Pulmonary ... #Diagnosis #Management
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Diagnosis Framework ... • Obstructive: Pulmonary ... #Differential #Diagnosis ... algorithm #treatment #management
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management Ascites PMN > 250/mm3 ? Nosocomial or hospital acquired. Recent
Peritonitis (SBP) - Diagnosis ... and Management ... Nosocomial or hospital acquired ... Presentation in septic shock ... Peritonitis #SBP #Diagnosis
RUSH(ed) Exam - POCUS Protocol Rapid Ultrasound in Shock and Hypotension 1. Parasternal Long Cardiac View 2. Apical Four-Chamber
Ultrasound in Shock ... Pulmonary View ... Pulmonary View ... DVT depending on clinical ... POCUS #Protocol #diagnosis
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... performed) • Clinical ... Cardiovascular MRI Clinical ... • Cardiogenic shock ... cardiac death Management
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