13 results
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
contractility) - Acute ... exacerbation (any cause ... flow) - Massive pulmonary ... Classification #Table ... #CriticalCare
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
class (30-day all cause ... Hemodynamics (Stable ... Transient Hypotension, Shock ... prognostication #diagnosis #management ... stratification #criticalcare
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
no respiratory cause ... like DKA, sepsis, PNA ... 5) History of acute ... , Diaphoresis, Pulmonary ... edema, Shock Labs
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... consistent with pulmonary ... edema must be present ... the underlying cause ... #CriticalCare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... IV's, Consider IL NS ... Tamponade - Pulmonary ... >> Acute PE, Tension ... #Summary #criticalcare
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
for Three Common Causes ... pressure (PEEP) for pulmonary ... edema ... #Shock #Management ... #CriticalCare
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
irrigation • Management ... pulmonary edema ... Kidney stones caused ... • Hypovolemic shock ... #Medications #Table
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
without other cause ... At least 3 of (Acute ... , and CXR with pulmonary ... edema) • Fever ... diagnosis #comparison #table
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... essentially Cardiogenic Shock ... the determined cause ... cardiology #treatment #table ... heartfailure #chf #criticalcare
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
malignancy (Especially acute ... dysfunction (16%) • Shock ... Treat primary cause ... #treatment #management ... #hematology