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diagnosis management criticalcare differential algorithm sepsis treatment areas cardiology distribution emergency endemic geography leishmaniasis neurology ophthalmology sirs summary aliem anatomy
Important Blood Pressure Targets in the ED Subarachnoid Hemorrhage: SBP < 140 -
raised ICP: MAP ... raised ICP: MAP ... BP (SBP>70-90, MAP ... MAP > 85 ... raised ICP: MAP
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Framework - MAP ... Dehydration Shock ... Treatment Goals: 1) MAP ... Sophia_Hayes_MD #Shock
Approach to Possible Hypertensive Emergency criteria required to diagnose hypertensive emergency (1) Severe hypertension - Usually a MAP
- Usually a MAP ... - This may vary ... occur at lower MAPs ... chronic hypertension may
Rapid Ultrasound in SHock Evaluation RUSH Protocol: • PUMP: LV contractility, RV strain, tamponade • TANK: IVC
Ultrasound in SHock ... aneurysms, DVT HI-MAP ... Ultrasound #pocus #shock
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
with cardiogenic shock ... RESISTANCE = [(MAP ... or hypovolemic shock ... OUTPUT (CPO) = (MAP ... correlate in the SHOCK
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
Shock Classification ... Differential Diagnosis SHOCK ... • MAP <65, SBP ... Sophia_Hayes_MD #Shock
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
to next step if shock ... Subsequent ICU goals—if shock ... perfusion pressure (MAP ... #Shock #Algorithm
Systemic Inflammatory Response Syndrome (SIRS) • Non-specific (infections vs non-infectious) • ≥2 of the following: o Temp >38°C or <36°C o HR >90 bpm o RR
Septic Shock • ... vasopressors (MAP ... norepinephrine) if MAP ... #sepsis #sirs #shock ... #lactate #MAP
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... SBP drop >40, MAP ... possible w/ early shock ... • Obstructive Shock ... • Hypovolemic Shock
Optic Neuritis - Diagnosis and Management • Epidemiology: Female (75%), 18-50 years, caucasian • Symptoms: Moderate visual
• Signs: RAPD (Marcus ... Gunn pupil), Papilledema ... Methylprednisolone (MP ... visual loss after MP ... improvement after MP
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