41 results
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... Anaphylaxis - Post-cardiac ... infarction Tamponade ... Cardiogenic #Comparison #Table
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... Drugs 1) Determine ... and etiology of shock ... Obstructive: Pericardial tamponade ... management #comparison #table
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Stages: 1. ... infarction, following cardiac ... pneumothorax, cardiac ... tamponade, constrictive ... warm #wet #dry #table
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... → tension PTX, cardiac ... tamponade, Vascular ... uw_IMresidency #Shock ... Differential #Diagnosis #table
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
Pericardial Tamponade ... in a Shock Patient ... @EM_RESUS #Clinical ... Echocardiogram #Cardiac ... #Tamponade #Pericardial
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Pneumothorax, Cardiac ... Tamponade, Severe ... Dehydration Shock ... Treatment Goals: 1)
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... SOFA and SIRS 1) ... dilated IVC - Cardiac ... pericarditis, Pericardial Tamponade ... Cardiac surgery?
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Myocarditis: 1. ... Build clinical suspicion ... Manage acute cardiac ... HF, Cardiogenic shock ... Pericarditis, Tamponade
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
or the type of shock ... severe cardiogenic shock ... tamponade. ... output (ie, cardiac ... #Differential #Table
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Stages: 1. ... shock. ... infarction, following cardiac ... pneumothorax, cardiac ... tamponade, constrictive