10 results
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
contractility) - Acute ... MI - Severe heart ... flow) - Massive pulmonary ... Classification #Table ... #CriticalCare
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
• Cardiogenic: Acute ... MI, Acute Heart ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management ... #comparison #table
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Tamponade - Pulmonary ... >> Acute PE, Tension ... #Summary #criticalcare ... #treatment #workup
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... Treatment Systemic ... - 2% risk of ICH ... #AcutePE #Management ... #CriticalCare
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... drained if causing acute ... Revascularization, treatment ... for acute MI if ... HeartFailure #Cardiology #Management
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
COVID19 in the ICU ... dyspnea • 15% URI ... unilateral* • POCUS ... Cheatsheet #Diagnosis #Management ... #Coronavirus #CriticalCare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... essentially Cardiogenic Shock ... #table #foamed ... heartfailure #chf #criticalcare ... #icu #clinical
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy • Pulmonary ... ancestry, LGE on MRI ... Pts: cardiogenic shock ... Avoid ARBs • ICD ... #cardiology #treatment
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
irrigation • Management ... pulmonary edema ... • Hypovolemic shock ... Tolvaptan) • Treatment ... #Medications #Table
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
heart (Sepsis, Shock ... are typically able ... echocardiogram #management ... #clinical #criticalcare ... #foamed #treatment