19 results
Rapid Ultrasound in SHock Evaluation
RUSH Protocol:
 • PUMP: LV contractility, RV strain, tamponade
 • TANK: IVC
Ultrasound in SHock ... dissection, aneurysms ... E-FAST • A - Aorta ... diagnosis #Ultrasound #pocus ... #shock
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... Pearls Aortic dissection ... dissection in any ... aneurysm 3. ... deficit • Shock
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Differential Diagnosis Algorithm ... dissection • ... Aortic aneurysm ... • Hypovolemic shock ... Differential #Diagnosis #Algorithm
Relevant Sonopathology of the Parasternal Long Axis (PLAX) - Point of Care Ultrasound
 - Right Ventricular
Dilatation - Aortic ... Dissection - Aortic ... Heart Failure - Aortic ... Aneurysm - Papillary ... #Diagnosis #POCUS
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Differential Diagnosis Algorithm ... Obstruction • Aortic ... Non-lschemic • Aortic ... Dissection ... • Dilating Aneurysm
Mediastinal Widening - Differential Diagnosis

 • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
• Vascular: Aortic ... dissection, Aortic ... anourysm, Enlarged ... pulmonary arteries ... duplicated SVC) • Pulmonary
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
of Cardiogenic Shock ... Tamponade, pulmonary ... systemic HTN, aortic ... dissection ... #Cardiogenic #Shock
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... • Ruptured aortic ... aneurysm • ... a.k.a. neurogenic shock ... flow) - Massive pulmonary
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Mechanical → severe aortic ... valvular rupture, dissection ... of ascending aorta ... failure from massive pulmonary ... embolism or severe pulmonary
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Mechanical → severe aortic ... valvular rupture, dissection ... of ascending aorta ... Cold and Dry) • Pulmonary ... embolism or severe pulmonary