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Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
↓ CO, ↑ SVR, ↓ PCWP ... ↓ CO, ↑ SVR, ↑ PCWP ... ↓ CO, ↑ SVR, ↓ PCWP ... ↑ CO, ↓ SVR, ↓ PCWP
Differentiating PAH from PVH - Echocardiography Pulmonary Artery Hypertension (PAH): • RV size - Enlarged • LA
Normal/Low • PCWP ... mmHg • PADP-PCWP ... Normal/High • PCWP ... mmHg • PADP-PCWP
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
RESISTANCE = (meanPAP-PCWP ... based on PVR & PCWP ... RAP/PCWP RATIO ... • A ↑ RA/PCWP correlates ... • RA/PCWP>0.54
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms Direct measurements ● Central venous pressure
wedge pressure (PCWP ... x [mean PAp – PCWP ... LVSWI = [MAP – PCWP
Pulmonary Artery Catheter Pressures Normal: RA 0-8, RV 15-25/0-8, Mean PAP <25, PCWP 8-12, Cardiac Index 2.6-4.2 HFrEF,
Mean PAP <25, PCWP
Right Heart Cath - Normal Cardiac Pressures Right Atrial Pressure (RAP) or Central Venous Pressure (CVP) •
Wedge Pressure (PCWP
This is what a shoulder dislocation looks like on US before and after reduction. Focus on
Focus on the joint ... Ghali @EM_RESUS #Clinical ... #POCUS #MSK #Shoulder
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 Interstitial pneumonias An acute reticular pattern is most frequently caused by interstitial edema due to cardiac heart
pneumonia: Viral PCP ... This was a PCP-infection ... #Clinical #Radiology
Mechanical Cardiac Support Devices Compared Cannula Size - Insertion Technique - Haemodynarnic Support IABP: • Afterload: Reduced •
Slightly reduced • PCW ... pre-load: Reduced • PCW ... pre-load: Reduced • PCW ... Slightly reduced • PCW
ABC's of POCUS Forming the platform for my CCS2018 talk, ‘POCUS on ITU’! My infographic on the
ABC's of POCUS ... CCS2018 talk, ‘POCUS ... on the ABC’s of POCUS ... #CriticalCare #POCUS ... #ABCs #ABCDEs #clinical
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