12 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... Revascularization, treatment ... for acute MI if ... shock #Checklist ... #CHF #Shock #Cardiogenic
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
) 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 ... Treatment Goals ... Differential #Diagnosis #criticalcare ... #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Tamponade - Pulmonary ... >> Acute PE, Tension ... Shock - MI ... #Summary #criticalcare ... #treatment #workup
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... Neurogenic • Cardiogenic ... : Acute MI, Acute ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management
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 Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... Treatment Systemic ... - 2% risk of ICH ... #AcutePE #Management ... #CriticalCare
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
- Checklist VITALS ... esp in work-up/management ... of shock MICRO ... something has acutely ... diagnosis #workup #criticalcare
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