30 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
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... decompensated heart ... Mechanical → severe aortic ... pneumothorax, cardiac ... #diagnosis #management
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
• Most common type ... decompensated heart ... pneumothorax, cardiac ... Classification #Types ... #diagnosis #management
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 and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
1) Determine type ... Acute MI, Acute Heart ... Arrhythmias / CHB ... #inopressors #diagnosis ... #management #comparison
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
radiocapitellar lines), fat pads ... syndrome • ED Management ... recommendations MH/CCF ... Elbow #Humerus #Radiology ... #XRay #Diagnosis
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
fracture • ED Management ... recommendations MH/CCF ... Fracture #Elbow #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics