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FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - ... POCUS evaluation ... FALLS-protocol is ... classification ... #Shock #Algorithm
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
tree of FALLS-protocol ... (Fluid Administration ... According to Weil classification ... #algorithm #Lung ... #Fluids #POCUS
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... end-organ damage, multisystem ... CARDIOGENIC (Cold ... #Classification ... Types #diagnosis #management
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... tachycardia, dyspnea, cold ... end-organ damage, multisystem ... #Classification ... types #diagnosis #management
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
dengue severity classification ... Fluid accumulation ... Shock evidenced ... , tachycardia, cold ... bleeding: based on evaluation
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
are excellent at evaluating ... and congested (“Cold ... essentially Cardiogenic Shock ... #differential #algorithm ... #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... any evidence of fluid ... event, follow ACC algorithm ... medical and surgical management ... perioperative #Risk #Evaluation
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
- Hemorrhagic shock ... no response to fluids ... massive transfusion protocol ... concern for spinal cord ... Survey #CABCDE #management
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
Hypothermia - Protocol ... Rapid - Level 1 fluid ... CPR • Max 3 shocks ... #management #treatment ... #algorithm