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Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
undifferentiated shock ... is in impending shock ... ill patient with shock ... perfusion - shock ... - Cyanide - Propofol
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
PRE-SHOCK - Compensated ... end-organ damage, multisystem ... • Most common type ... CARDIOGENIC (Cold and wet ... Classification #Types
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... PRE-SHOCK - Compensated ... end-organ damage, multisystem ... - Most common type ... CARDIOGENIC (Cold and Wet
POCUS Algorithm for Chest Pain

Integrating POCUS in crashing chest pain is complex. Know the views that
POCUS Algorithm ... identify sick pts ... ChestPain #POCUS #Algorithm ... #CriticalCare #Shock ... Crashing #Diagnosis #Protocol
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Diagnosis Framework Type ... Cardiogenic & Septic Shock ... dysfunction Type ... Drugs/Toxins: - Propofol ... (PRIS), Valproic
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
if the pt has pre-existing ... /management of shock ... • For most ICU pts ... Most will also get ... scenario): • Lactate
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
Hypothermia - Protocol ... THERAPY • Remove wet ... CPR • Max 3 shocks ... #Hypothermia #Protocol ... management #treatment #algorithm