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diagnosis cardiology management criticalcare clinical comparison differential cathlab treatment cardiac cardiogenic classification foamed myocardial nstemi pharmacology risk thrombus acs activation
Inpatient Cath Lab Indications Cath Lab ASAP: STEMI NSTEMI: 1. Unstable/cardiogenic shock 2. Severe LV dysfunction or 3. Recurrent/persistent rest angina despite
Cath Lab ASAP: STEMI ... NSTEMI: 1. ... Unstable/cardiogenic shock ... lab w/in 24 h: NSTEMI ... /UA: stable, TIMI
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... contractility) - Acute MI ... DrEricStrong #Shock ... Classification #Table
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC SHOCK ... INITIATIVE ALGORITHM ... evidence of AMI (STEMI ... Shock  Hypotension ... #Algorithm #DCSI
Bedside Classification of Shock Hypovolemic shock - Vomiting, diarrhea, overdiuresis - Hemorrhage (GI, peritoneal, RP) Distributive shock
Classification of Shock ... Hypovolemic shock ... - Septic shock ... Endocarditis - Post-MI ... Cardiogenic #Comparison #Table
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 ... #Vasopressors #shock ... management #comparison #table
Differentiating type-I vs. type-II MI Sorting this out is difficult, often relying heavily on clinical judgement. A key
type-I vs. type-II MI ... probably a type-2 MI ... The table below ... Type2 #Definition #NSTEMI ... #Comparison #Table
Left Main Coronary Artery Thrombus seen on Angiography “Mother of all coronary thrombi”. 55 year old
Anterior wall STEMI ... in Cardiogenic shock ... Patient was in shock ... established, but died on table
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 Flowchart guide to diagnosing sepsis and septic shock. Visit gramproject.com for more medical diagrams, tables and
sepsis and septic shock ... medical diagrams, tables ... #algorithm #diagnosis ... #sepsis #shock
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... failure, acute MI ... uw_IMresidency #Shock ... Differential #Diagnosis #table
Pediatric SVT - Management Algorithm Identify SVT: • HR not variable • Abrupt rate changes • Infants:
SVT - Management Algorithm ... Monitors, Pads AP Stable ... Signs of shock or ... tachycardia #Management #Algorithm
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