87 results
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
is caused by a ... tissue disorder e.g ... deficit • Shock ... blood pressure: e.g ... #management #vascular
Shock - Differential Diagnosis by Classification

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

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
Intra-Aortic Balloon ... • Triggers (EKG ... Balloon #Pump #diagnosis ... #management #cardiology ... #criticalcare
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Shock - Differential ... Blood draw • Severe ... Mechanical • Aortic ... Medication side effect (e.g ... Medication side effect (e.g
Severe Asthma Algorithm - Management of Life-Threatening Asthma in the Emergency Department
Step One
1. Nebulized Albuterol
2. Nebulized
- Management of ... Diagnostics: Chest ... HCG, ECG if concern ... #Emergency #Management ... #CriticalCare #
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
for Three Common Causes ... when possible (eg ... dysrhythmias (eg ... #Shock #Management ... #CriticalCare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... 5) Analyze and Reverse ... #Diagnosis #Management ... #Summary #criticalcare
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
and Inotropes - Pharmacology ... first agent in shock ... • Higher doses cause ... line in septic shock ... #Summary #management
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... gallop • Abnormal ECG ... • Cardiogenic shock ... cardiac death Management ... #Management #Cardiology