337 results
PCI in Acute MI with Cardiogenic Shock. #EBM #Cardiology #CULPRITSHOCK #PCI #VisualAbstract #NEJM
PCI in Acute MI ... with Cardiogenic Shock
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... Distributive shock ... - Septic shock ... Endocarditis - Post-MI
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... contractility) - Acute MI ... DrEricStrong #Shock
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... CARDIOGENIC 16% • MI ... Cold and Dry #Shock
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Cardiogenic: Acute MI ... Nesiritide 3) Treat shock ... #Vasopressors #shock
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... possible w/ early shock ... • Obstructive Shock ... • Hypovolemic Shock ... - MI, arrhythmia
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... OnePager Summary Shock ... undifferentiated shock ... Shock can be broken ... ), LV Failure (MI
Beau's Lines

Transverse depressed ridges seen in severe infection, MI, hypotension/shock, hypocalcemia, post-surgical, malnutrition and with certain
severe infection, MI ... , hypotension/shock
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... of hypotension Shock ... Distributive Shock ... ) Cardiogenic Shock ... O2 delivery • MI
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... of hypotension Shock ... Distributive Shock ... ) Cardiogenic Shock ... O2 delivery • MI