12 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Neurogenic • Cardiogenic ... : Acute MI, Acute ... Arrhythmias / CHB ... inopressors #diagnosis #management ... #comparison #table
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... High SVR: • Cardiogenic ... Decompensated CHF ... #criticalcare #algorithm ... #treatment #management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ... ALGORITHM INCLUSION ... CRITERIA Acute ... #Shock #Algorithm ... DCSI #Initiative #Management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... drained if causing acute ... treatment for acute ... #CHF #Shock #Cardiogenic ... HeartFailure #Cardiology #Management
Summary of Coagulation Deficiencies
Inherited:
 • Hemophilia A - Deficiency of Factor VIII
 • Hemophilia B -
of Factor IX Acquired ... celiac disease, CF ... DIC - Septic shock ... catastrophes, Acute ... Deficiencies #Summary #table
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Fulminant: - Acute ... HF, Cardiogenic ... shock, Arrythmias ... Myocarditis #diagnosis #management
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
shock. ... myxedema, beriberi CARDIOGENIC ... insufficiency, acute ... Types #diagnosis #management ... warm #wet #dry #table
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 • Chronic Myocardial Injury: End
Diagnosis and Workup Algorithm ... Pre-Coronarv): Shock ... Tachycardia-induced HF ... Distribution: Acute ... Occlusion • Stable
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Shock. ... #differential #algorithm ... #management #cardiology ... #treatment #table ... #heartfailure #chf
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
May have typical HF ... Minority of Pts: cardiogenic ... shock and severe ... Management during ... Delivery • Stable