18 results
diagnosis differential criticalcare algorithm cardiomyopathy checklist chf heartfailure lactate myocarditis peripartum sepsis summary workup acidosis anesthesiology biopsy capillary catheterization cathlab
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... 4 categories: cardiogenic ... CCB, BB, BRASH syndrome ... Pneumothorax, Cardiac ... cytokine release syndrome
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
High SVR: • Cardiogenic ... Pneumothorax, Cardiac ... Abdominal compartment syndrome ... ) UOP > 0.5 cc/kg ... #management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... DCSI #Initiative #Management ... #Cardiology
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... telemetry, 12-Lead EKG ... resuscitation • Cardiogenic ... Cardiac surgery? ... #criticalcare #treatment
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
- Acute HF, Cardiogenic ... shock, Arrythmias ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... #cardiology #summary
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
gallop • Abnormal ECG ... Elevated troponin • Cardiogenic ... shock, sudden cardiac ... death Management ... #Cardiology
Inpatient Cath Lab Indications Cath Lab ASAP: STEMI NSTEMI: 1. Unstable/cardiogenic shock 2. Severe LV dysfunction or 3. Recurrent/persistent rest angina despite
Unstable/cardiogenic ... shock 2. ... low (1-2) risk, +ECG ... #Indications #Cardiac ... catheterization #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Shock - Management ... Evaluation - EKG ... Revascularization, treatment ... #CHF #Shock #Cardiogenic ... #HeartFailure #Cardiology
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
cause) or septic shock ... Check serial lactates ... Consider monitoring cardiac ... cultures if possible (eg ... Discuss ongoing management
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
Minority of Pts: cardiogenic ... shock and severe ... and timing with Cardio-OB ... deteriorating on medical ... #cardiology #treatment
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