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Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Cardiogenic Shock ... Forrester Classification ... Table and Mortality ... Class II) - Cold ... Class Ill) - Cold
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... CARDIOGENIC (Cold ... OBSTRUCTIVE (Cold ... #Classification ... warm #wet #dry #table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Diagnosis by Classification ... Anaphylaxis - Spinal cord ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Acute Purpura Fulminans Skin Rash on Physical Exam 
60 year old male ITP s/p splenectomy 
1d
Exam 60 year old ... Admitted to ICU ... in multipressor shock ... about high risk pathogens ... Final dx: Septic shock
Cold Urticaria
Prevalence - 0.05% in the population
Disease onset - Mostly 2nd to 4th decades of life
Causes
Cold Urticaria Prevalence ... skin contact with cold ... , Hypotension, shock ... Diagnostic tests - Ice ... rheumatology #comparison #table
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
SVT - Management Algorithm ... Monitors, Pads AP Stable ... Maneuvers - Ice ... Signs of shock or ... tachycardia #Management #Algorithm
SEPSIS AND SEPTIC SHOCK

DEFINITION AND PATHOPHYSIOLOGY
 • Sepsis: Life-threatening organ dysfunction due to a dysregulated host
SEPSIS AND SEPTIC SHOCK ... • Septic shock ... • Pathogens: ... Window: - Cold ... , ventilation, ICU
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
and congested (“Cold ... essentially Cardiogenic Shock ... #differential #algorithm ... cardiology #treatment #table ... #criticalcare #icu
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
functional status - Able ... metabolic equivalent able ... event, follow ACC algorithm ... Stable patients ... undergoing AAA or upper
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
dengue severity classification ... Shock or respiratory ... Shock evidenced ... , tachycardia, cold ... or ALT > 1000 IU