40 results
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Summary • Hypotension ... Setup - Ultrasound ... telemetry, 12-Lead EKG ... #Summary #criticalcare
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
- RUQ ultrasound ... as for septic shock ... (e.g. moderate ... resuscitation (e.g ... choledolithiasis (e.g
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... brady, Signs of Shock ... Chest Pain • ECG ... Connect ECG Leads ... #management #cardiology
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
when possible (eg ... dysrhythmias (eg ... reverse the insult (eg ... #Shock #Management ... #CriticalCare
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... Evaluation - EKG ... (no B-lines on ultrasound ... Nephrotoxins (e.g ... channel blocker (eg
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
- Pharmacology Summary ... first agent in shock ... line in septic shock ... #Pharmacology #Summary ... #management #medications
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
gallop • Abnormal ECG ... • Cardiogenic shock ... cardiac death Management ... Myocarditis #Diagnosis #Management ... #Cardiology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... ) UOP > 0.5 cc/kg ... #Differential # ... Diagnosis #criticalcare ... algorithm #treatment #management
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
HF, Cardiogenic shock ... Pericarditis, Tamponade EKG ... Myocarditis #diagnosis #management ... #cardiology #summary
Approach to Hemorrhagic Shock
PLAN FOR CONTROLLING HEMORRHAGE & ACTIVATE MASSIVE TRANSFUSION PROTOCOL
 • Activate massive transfusion
to Hemorrhagic Shock ... a fixed ratio, e.g ... #Hemorrhagic #Shock ... #Management #Summary ... #CriticalCare #