9 results
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
tree of FALLS-protocol ... assessment of Shock ... obstructive, then cardiogenic ... #algorithm #Lung ... #Pulmonology #CriticalCare
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ... ALGORITHM INCLUSION ... Infarction  Ischemic ... LAB ACCESS & SUPPORT ... #Shock #Algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... High SVR: • Cardiogenic ... Treatment Goals ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Ensure adequate support ... resuscitation • Cardiogenic ... Management #Summary #criticalcare ... #treatment #workup
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... antiarrhythmics - Ischemic ... Revascularization, treatment ... Mechanical circulatory support ... #CHF #Shock #Cardiogenic
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Trauma & burns, Cardiogenic ... & Septic Shock, ... Hypoxemia, Regional Ischemia ... Drugs/Toxins: - Propofol ... Differential #Diagnosis #criticalcare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
is essentially Cardiogenic ... Shock. ... even mechanical support ... #differential #algorithm ... heartfailure #chf #criticalcare
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
Hypothermia - Protocol ... CPR • Max 3 shocks ... #Hypothermia #Protocol ... #management #treatment ... #algorithm
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
heart (Sepsis, Shock ... cannot, coronary ischemia ... #diagnosis #algorithm ... management #clinical #criticalcare ... #foamed #treatment