34 results
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... CO / High SVR, JVP ... CO / High SVR, JVP ... Pneumothorax, Cardiac ... Tamponade Hypovolemic
Cardiac Tamponade

#Clinical #POCUS #Echocardiogram #Cardiac #Tamponade #Pericardial #Effusion #Electrical #Alternans
Cardiac Tamponade ... Clinical #POCUS #Echocardiogram ... #Cardiac #Tamponade ... #Pericardial #Effusion
POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior
POCUS Pearls for Tamponade ... - Pericardial Effusion ... @SAlerhand #Cardiac ... #Tamponade #POCUS ... #Echocardiogram
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... → tension PTX, cardiac ... tamponade, Vascular ... release syndrome, infusion ... uw_IMresidency #Shock
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
Pericardial Tamponade ... in a Shock Patient ... Clinical #POCUS #Echocardiogram ... #Cardiac #Tamponade ... #Pericardial #Effusion
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Shock - Differential ... - Distributive Shock ... - Low JVP ... Pneumothorax • Cardiac ... Tamponade - Hypovolemic
Malignant Pericardial Effusion causing Tamponade on POCUS

Parasternal long with some RV collapse explaining this cancer patient's
Malignant Pericardial Effusion ... causing Tamponade ... #Pericardial #Effusion ... #Malignant #Cardiac ... #Tamponade #Echocardiogram
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
massive pericardial effusion ... , cardiac tamponade ... Tamponade: pericardial ... effusion, small ... Signs: Normal cardiac
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Consider IL NS/LR infusion ... - Distended neck ... pericarditis, Pericardial Tamponade ... crackles, elevated JVP ... Cardiac surgery?
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
with Pericardial Effusion ... sided pericardial effusion ... #pericardial #effusion ... #tamponade #MyocardialInfarction ... #AMI #POCUS #Echocardiogram