37 results
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Diagnosis by Classification ... • Ruptured aortic ... exacerbation (any cause ... Classification #Table ... #CriticalCare
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... Bradyarrhythmias, Some cases ... Inotropes #comparison #table ... #pharmacology # ... criticalcare
Causes, classification and compensatory responses to shock.

Shock can be caused by any pathological process that leads
Shock can be caused ... (as occurs in severe ... The cause of shock ... is often clinically ... #Diagnosis #CriticalCare
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Shock - Differential ... Blood draw • Severe ... Mechanical • Aortic ... Classification #Table ... #Causes
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
is caused by a ... Abrupt onset and severe ... tissue disorder e.g ... deficit • Shock ... #Dissection #diagnosis
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... findings based on cause ... #table #comparison ... #criticalcare
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
, ECG predicted ... from LMCA into aortic ... established, but died on table ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... for Three Common Causes ... SHOCK • Ensure ... • Seek to reverse ... #CriticalCare
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
on scores and clinical ... class (30-day all cause ... Transient Hypotension, Shock ... prognostication #diagnosis ... stratification #criticalcare
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... oliguria (< 0.5 mL/kg ... Classification #diagnosis ... management #Overview #criticalcare ... #differential #causes