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An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
patients along the peri-shock ... to full shock spectrum ... High or Think Low ... POCUS #Evaluation #Protocol ... #Algorithm #Low
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
patients along the peri-shock ... to full shock spectrum ... High or Think Low ... POCUS #Evaluation #Protocol ... #Algorithm #High
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Trauma • GI ... a.k.a. neurogenic shock ... obstruction to blood flow ... Classification #Table
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... 1.5 High CO / Low ... Spinal Cord Injury Low ... Hypovolemic: Blood Loss, GI ... #criticalcare #algorithm
Approach to Hemorrhagic Shock
PLAN FOR CONTROLLING HEMORRHAGE & ACTIVATE MASSIVE TRANSFUSION PROTOCOL
 • Activate massive transfusion
to Hemorrhagic Shock ... MASSIVE TRANSFUSION PROTOCOL ... massive transfusion protocol ... • Determine how ... surgical, IR, or GI
Intern Pocket Cards - Daily Rounding and Disposition Checklist
Daily Checklist:
 • FEN/GI:
Daily Checklist ... : • FEN/GI: ... procedure [ ] PET ... active bleeding, low ... [ ] Recent GI
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
SVT - Management Algorithm ... Monitors, Pads AP Stable ... Older children: blow ... Signs of shock or ... tachycardia #Management #Algorithm
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management checklist ... as for septic shock ... Non-intubated: Low-fat ... limit them as able ... #Pancreatitis #Checklist
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
• Fever: hospitalized pts but
rhinorrhea) <20% • GI ... usually normal or low ... normal, can be low ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
ICU Pre-Rounding Bundle Checklist
VITALS: trends!
 • Important to know if the pt is getting better or
Pre-Rounding Bundle Checklist ... how?) ... many per 24 hrs ... PPX: GI, DVT, ABX ... PreRounding #Bundle #Checklist