19 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... Checklist Evaluation ... (no B-lines on ultrasound ... shock #Checklist ... HeartFailure #Cardiology #Management
RV Strain in Pulmonary Embolism on POCUS Echocardiogram

A patient is brought by EMS intubated and hypotensive.
RV Strain in Pulmonary ... Embolism on POCUS ... your next step in management ... #RVStrain #Pulmonary ... Echocardiogram #clinical #ultrasound
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... Prognostication based on scores ... @nickmmark #Pulmonary ... #Embolism #Risk ... prognostication #diagnosis #management
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... Associated Lung Ultrasound ... bronchograms) Cardiogenic ... Embolism (PE): ... #Lung #POCUS #ultrasound
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Neurogenic • Cardiogenic ... Pericardial tamponade, Pulmonary ... embolism 2) Understand ... inopressors #diagnosis #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
High SVR: • Cardiogenic ... • Obstructive: Pulmonary ... Embolism, Tension ... algorithm #treatment #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... nodes • Roth’s spots ... Injury By: • Early embolic ... • Paradoxical emboli ... Endocarditis #diagnosis #management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... endocarditis w/ septic pulmonary ... with multiple embolic ... • Aggressive management ... #Endocarditis #checklist
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
myxedema, beriberi CARDIOGENIC ... failure from massive pulmonary ... embolism or severe ... pulmonary hypertension ... types #diagnosis #management
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
myxedema, beriberi CARDIOGENIC ... Cold and Dry) • Pulmonary ... embolism or severe ... pulmonary hypertension ... Types #diagnosis #management