16 results
The FAST exam from the case in this episode reveals a massive hemopericardium with tamponade. RV
RV collapse = tamponade ... #Peds #Trauma #POCUS ... Echocardiogram #Hemorrhagic ... #Tamponade #Hemorrhage ... Hemopericardium #Torn #Tear #AtrialAppendage
FAST - Cardiac Tamponade - Torn atrial appendage.
WCUME 2017 Submission for Best POCUS - Massive hemopericardium
Submission for Best POCUS ... #Peds #Trauma #POCUS ... Echocardiogram #SC4C #Hemorrhagic ... #Hemorrhage #Torn ... #Tear #AtrialAppendage
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
depletion) - Hemorrhagic ... Trauma • GI hemorrhage ... bleed - Non-hemorrhagic ... - Pericardial tamponade ... Classification #Table #CriticalCare
Approach to Hemorrhagic Shock
PLAN FOR CONTROLLING HEMORRHAGE & ACTIVATE MASSIVE TRANSFUSION PROTOCOL
 • Activate massive transfusion
Approach to Hemorrhagic ... CONTROLLING HEMORRHAGE ... Determine how hemorrhage ... @nickmmark #Hemorrhagic ... #Shock #Management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
pericarditis, Pericardial Tamponade ... collapsible IVC - Hemorrhagic ... >7 - Non-hemorrhagic ... elevated JVP, echo ... #Summary #criticalcare
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
HEMORRHAGIC SHOCK ... immediate control of hemorrhage ... uncontrollable hemorrhage ... suspected massive hemorrhage ... #Shock #Management
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Intravascular volume): • Hemorrhage ... tension PTX, cardiac tamponade ... uw_IMresidency #Shock ... table #comparison #criticalcare
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
shock. ... pneumothorax, cardiac tamponade ... Cold and Dry): • Hemorrhagic ... types #diagnosis #management ... #criticalcare #
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... O2 delivery • Hemorrhagic ... , Tension ptx, Tamponade ... Classification #diagnosis #management ... #Overview #criticalcare
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... OnePager Summary Shock ... Pneumothorax, Cardiac Tamponade ... • HYPOVOLEMIC: Hemorrhage ... guyton #curves #criticalcare