22 results
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Diagnosis by Classification ... - Pericardial tamponade ... #Differential # ... #Table #CriticalCare
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
in a Shock Patient ... good enough at diagnosing ... This is why Echo ... #Echocardiogram ... #Cardiac #Tamponade
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Shock - Differential ... Diagnosis Algorithm ... Pneumothorax • Cardiac ... Tamponade - Hypovolemic ... ) • Hemorrhage
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Differential Diagnosis ... oral intake • Hemorrhage ... Obstructive: • Cardiac ... tamponade • Tension ... #Diagnosis #Algorithm
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
overdiuresis - Hemorrhage ... Anaphylaxis - Post-cardiac ... infarction Tamponade ... Cardiogenic #Comparison #Table ... #Diagnosis #Features
UNDIFFERENTIATED SHOCK

1. Echo is a powerful differentiator 
2. Echo ALL shock patients!
Sam Ghali @EM_RESUS
#Clinical #POCUS #Echocardiogram
Echo ALL shock patients ... EM_RESUS #Clinical #POCUS ... #Echocardiogram ... #Differential # ... Table #Undifferentiated
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... pericarditis, Pericardial Tamponade ... elevated JVP, echo ... Cardiac surgery? ... #Diagnosis #Management
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... Intravascular volume): • Hemorrhage ... tamponade, Vascular ... Diagnosis #table
Malignant Pericardial Effusion causing Cardiac Tamponade on Echocardiogram (S4c)
Hypotensive + respiratory distress. At first glance you
Malignant Pericardial ... Tamponade on Echocardiogram ... Repeat echo shows ... Prats @PratsEM #Malignant ... #POCUS #cardiology
Malignant Pericardial Effusion and Tamponade on POCUS Echocardiogram - A4C
CA patient with known pericardial effusion who
Malignant Pericardial ... on POCUS Echocardiogram ... BP stable. ... Echo clips from ... #Cardiac #POCUS