18 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... Checklist Evaluation ... drained if causing acute ... Revascularization, treatment ... for acute MI if
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... - 2% risk of ICH ... @nickmmark #Pulmonary ... #AcutePE #Management ... #CriticalCare
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
neurogenic shock) Cardiogenic ... contractility) - Acute ... MI - Severe heart ... flow) - Massive pulmonary ... Classification #Table #CriticalCare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
High SVR: • Cardiogenic ... • Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare ... #algorithm #treatment ... #management
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hypoxemia - Workup and Management ... Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... edema), Lung Exam, POCUS ... #treatment #criticalcare
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Neurogenic • Cardiogenic ... : Acute MI, Acute ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Tamponade - Pulmonary ... >> Acute PE, Tension ... resuscitation • Cardiogenic ... #Summary #criticalcare ... #treatment #workup
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... 4 categories: cardiogenic ... Problem (↓ CO): • CARDIOGENIC ... Cardiac Tamponade, Pulmonary ... guyton #curves #criticalcare
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
myxedema, beriberi CARDIOGENIC ... insufficiency, acute ... embolism or severe pulmonary ... types #diagnosis #management ... #criticalcare #
Pulmonary Embolism on POCUS Echocardiogram

S/p mitral repair and MAZE. Hypotensive dyspneic, lightheaded.
Bedside U/S expediting diagnosis treatment
Pulmonary Embolism ... expediting diagnosis treatment ... - VCU Ultrasound ... ultrasound_vcu #Pulmonary ... #Embolism #AcutePE