53 results
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... concerning for cardiac ... Shortly after had cardiac ... MyocardialInfarction #AMI #POCUS #Echocardiogram ... ultrasound #Cardiology #A4c
Apical Approach Pericardiocentesis on POCUS Echocardiogram

Apical approach had best pocket + good distance away from lung
Pericardiocentesis on POCUS Echocardiogram ... in vitals and shock ... Pericardiocentesis #POCUS #Echocardiogram ... #A4c #clinical ... #cardiology #effusion
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
massive pericardial effusion ... , cardiac tamponade ... Pulmonary embolism ... Tamponade: pericardial effusion ... Signs: Normal cardiac
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... infarction, following cardiac ... embolism or severe pulmonary ... pneumothorax, cardiac ... types #diagnosis #management
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... infarction, following cardiac ... Cold and Dry) • Pulmonary ... pneumothorax, cardiac ... Types #diagnosis #management
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
goal-directed stepwise management ... to next step if shock ... maintain normal perfusion ... lesions), and cardiac ... Pediatrics #Sepsis #Management
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
Tamponade in a Shock ... Clinical #POCUS #Echocardiogram ... #Cardiac #Tamponade ... #Pericardial #Effusion
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Abnormal ECG, echocardiogram ... • Cardiogenic shock ... , sudden cardiac ... death Management ... Myocarditis #Diagnosis #Management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... dilated IVC - Cardiac ... Tamponade - Pulmonary ... Cardiac surgery? ... #Diagnosis #Management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... • Obstructive: Pulmonary ... Pneumothorax, Cardiac ... Dehydration Shock ... algorithm #treatment #management