14 results
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
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... - Distended neck ... pericarditis, Pericardial Tamponade ... crackles, elevated JVP ... Cardiac surgery?
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
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
goal-directed stepwise management ... maintain normal perfusion ... pressure (MAP – CVP ... lesions), and cardiac ... Pediatrics #Sepsis #Management
Cardiac Tamponade on Echocardiogram in Slow Motion (PLAX)
EchoProTip: Does this patient has a potentially hemodynamically compromising
Cardiac Tamponade ... on Echocardiogram ... have to pause the video ... large pericardial effusion ... of shock was not
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... infarction, following cardiac ... pneumothorax, cardiac ... tamponade, constrictive ... Types #diagnosis #management
Hemopericardium and Cardiac Tamponade on POCUS Echocardiogram

Next best step for this 25yo male (SBP 70)?
Resolution: pericardiocentesis
Hemopericardium and Cardiac ... Echocardiogram ... to definitive managemt ... #Tamponade #Effusion ... #POCUS #Echocardiogram
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... infarction, following cardiac ... pneumothorax, cardiac ... tamponade, constrictive ... types #diagnosis #management
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
indicated; expose neck ... to assess for neck ... or pericardial tamponade ... - Hemorrhagic shock ... Survey #CABCDE #management
Perform computations online at:
ScyMed.com
6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

→
↑
RV
SVR Hypovolemic shock ... ↑ Cardiogenic shock ... 1 ↑ Septic shock ... Tamponade ... DP-PCWP Coronary Perfusion