62 results
RUSH(ed) Exam - POCUS Protocol
Rapid Ultrasound in Shock and Hypotension
1. Parasternal Long Cardiac View
2. Apical Four-Chamber
Protocol Rapid Ultrasound ... Pulmonary View ... Pulmonary View ... Curvilinear Array for all ... #shock
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... function tests if shock ... (no B-lines on ultrasound ... NSAlDs, ACE-inhibitors ... #HeartFailure #Cardiology
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
of Cardiogenic Shock ... Tamponade, pulmonary ... #Cardiogenic #Shock ... Differential #Diagnosis #Cardiology
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... class (30-day all ... Transient Hypotension, Shock ... @nickmmark #Pulmonary
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC SHOCK ... ) Cardiogenic Shock ... visualization with use of ultrasound ... TIMI III flow in all ... Initiative #Management #Cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... possible w/ early shock ... Setup - Ultrasound ... • Obstructive Shock ... Tamponade - Pulmonary
Pulmonary Embolism with IVC Thrombus In Transit

A patient presents with chest pain. Which of the following
Pulmonary Embolism ... Resolution: Pulmonary ... septal motion, all ... #Pulmonary #Embolism ... InTransit #clinical #ultrasound
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
with cardiogenic shock ... or hypovolemic shock ... correlate in the SHOCK ... with cardiogenic shock ... catheter #diagnosis #cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
“Mother of all ... in Cardiogenic shock ... Patient was in shock ... CathLab #clinical #cardiology
Medical Management of Acute RV Failure
 • Evaluate and Treat Etiology of RV Failure [e.g. Acute
involving RV, Pulmonary ... Supportive Measures Act ... rightventricular #cardiology