30 results
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Tachyarrhythmias, Cardiac ... Tachyarrhythmias, Cardiac ... Tachyarrhythmias, Cardiac ... Inotropes #comparison #table ... #pharmacology #criticalcare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... → tension PTX, cardiac ... uw_IMresidency #Shock ... Differential #Diagnosis #table ... #comparison #criticalcare
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
sync with the cardiac ... nickmmark #IABP #IntraAortic ... diagnosis #management #cardiology ... #criticalcare
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
American College of Critical ... to next step if shock ... lesions), and cardiac ... #Shock #Algorithm ... #CriticalCare #
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... Common Causes of Shock ... HEMORRHAGIC SHOCK ... • Consider intraaortic ... #CriticalCare
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... Pneumothorax, Cardiac ... Obstruction (HOCM, critical ... pancreatitis, post-cardiac ... guyton #curves #criticalcare
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
on scores and clinical ... Hemodynamics (Stable ... Transient Hypotension, Shock ... stratification #criticalcare
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Cardiovascular MRI Clinical ... • Cardiogenic shock ... , sudden cardiac ... Diagnosis #Management #Cardiology
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Unstable/cardiogenic shock ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac ... catheterization #cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
in Cardiogenic shock ... Patient was in shock ... established, but died on table ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy