106 results
Cardiogenic Shock - Diagnosis and Management Summary
Identifying Hypoperfusion from Cardiac Dysfunction
 • Exam: Congestion vs Hypoperfusion
Cardiogenic Shock ... Hypoperfusion from Cardiac Dysfunction ... Diagnostic Studies • POCUS ... #Cardiogenic #Shock
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... Acute valve dysfunction ... Prosthetic valve dysfunction ... Cardiogenic #Comparison #Table
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
of Cardiogenic Shock ... Fibrillation AV nodal dysfunction ... , Sinus nodal dysfunction ... Tamponade, pulmonary ... #Cardiogenic #Shock
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
moderate diastolic dysfunction ... velocities, PVF: pulmonary ... atrium, PASP: pulmonary ... Diastolic #Diastology #Dysfunction ... Grades #Criteria #Table
#Pathophysiology #PulmonaryEmbolism #RVDysfunction #Perils #DeathSpiral #Shock #Progression #curbsiders
PulmonaryEmbolism #RVDysfunction ... #DeathSpiral #Shock
Diastology - Measuring Diastolic Dysfunction on POCUS

#Diastology #Diastolic #Dysfunction #POCUS #Measurement #Cardiology #Diagnosis
Measuring Diastolic Dysfunction ... on POCUS #Diastology ... #Diastolic #Dysfunction ... #POCUS #Measurement
The Death Spiral: Increased RV Afterload (Acute PE) 
#Pathophysiology #PE #PulmonaryEmbolism #Embolism #DeathSpiral #Shock #RVDysfunction #RebelEM
#DeathSpiral #Shock ... #RVDysfunction
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
END-ORGAN DYSFUNCTION ... Cold and Dry) • Pulmonary ... failure from massive pulmonary ... embolism or severe pulmonary ... warm #wet #dry #table
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
correlates with RV dysfunction ... 0.8 indicates RV dysfunction ... with cardiogenic shock ... 0.63 predicted RV dysfunction ... or hypovolemic shock
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
deep breathing Pulmonary ... Tachypnea: • Pulmonary ... • Hypovolemic shock ... Severe kidney dysfunction ... Nervous System Dysfunction