41 results
Shock - Pathophysiology 
Inadequate tissue perfusion to meet O2, nutrient requirements
1. Distributive Shock
2. Hypovolemic Shock
3. Cardiogenic
Shock - Pathophysiology ... Inadequate tissue perfusion ... Distributive Shock ... Hypovolemic Shock ... Obstructive Shock
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
Shock Classification ... Comparison Obstructive ... Shock: • Obstructive ... massive pericardial effusion ... Tamponade: pericardial effusion
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... to full shock spectrum ... #Diagnosis #POCUS ... #Cardiogenic #Obstructive ... #Shock
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
assessment of Shock ... sequentially rule out obstructive ... , i.e. septic shock ... #CriticalCare #Shock ... #Fluids #POCUS
Apical Approach Pericardiocentesis on POCUS Echocardiogram

Apical approach had best pocket + good distance away from lung
Pericardiocentesis on POCUS ... in vitals and shock ... Pericardiocentesis #POCUS ... clinical #cardiology #effusion
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... possible w/ early shock ... Consider IL NS/LR infusion ... and Reverse • Obstructive ... • Hypovolemic Shock
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... Shock Definition ... shock. ... diminished tissue perfusion ... into valve ring OBSTRUCTIVE
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Management 1) Ask ... Distributive • Obstructive ... #criticalcare #Shock
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... , S3, crackles Obstructive ... release syndrome, infusion ... uw_IMresidency #Shock
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... shock, cryptic ... shock. ... diminished tissue perfusion ... into valve ring OBSTRUCTIVE