23 results
Rapid Ultrasound in SHock Evaluation
RUSH Protocol:
 • PUMP: LV contractility, RV strain, tamponade
 • TANK: IVC
Ultrasound in SHock ... Approach: • H - Heart ... Exam #protocol #diagnosis ... #Ultrasound #pocus ... #shock
Cardiogenic Shock - Diagnosis and Management Summary
Identifying Hypoperfusion from Cardiac Dysfunction
 • Exam: Congestion vs Hypoperfusion
Cardiogenic Shock ... Hypoperfusion from Cardiac ... Studies • POCUS ... #Diagnosis #Management ... #cardiology
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
disease • Cardiac ... deficit • Shock ... opiates • Control heart ... #Dissection #diagnosis ... #management #vascular
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential Diagnosis ... beats: • Left heart ... pressure >10mmHg: • Cardiac ... • Hypovolemic shock ... #Differential #Diagnosis
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... • Cardiogenic shock ... , sudden cardiac ... death Management ... #Management #Cardiology
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
decompensated heart ... Mechanical → severe aortic ... pneumothorax, cardiac ... Classification #Types #diagnosis ... #management #cold
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
decompensated heart ... Mechanical → severe aortic ... pneumothorax, cardiac ... Classification #types #diagnosis ... #management #criticalcare
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
brady, Signs of Shock ... AMS, SOB from CHF ... #bradycardia #diagnosis ... #differential #management ... #cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Fulminant: - Acute HF ... , Cardiogenic shock ... #Myocarditis #diagnosis ... #management #cardiology
HEART Score – A Tool For the ED The HEART score is an excellent tool that
Major Adverse Cardiac ... the ED to help focus ... www.mdcalc.com/heart-score-major-cardiac-events ... #Diagnosis #Management ... #Cardiology #HEART