65 results
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... class (30-day all cause ... Transient Hypotension, Shock ... #Embolism #Risk ... prognostication #diagnosis #management
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Differential Diagnosis SHOCK ... , CVP > 12 • Pulmonary ... Embolism, Tension ... Sophia_Hayes_MD #Shock
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Shock - Differential ... - Distributive Shock ... Sounds • Pulmonary ... Embolism ... Diagnosis #Algorithm #causes
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... High CO / Low SVR ... • Obstructive: Pulmonary ... Embolism, Tension ... algorithm #treatment #management
Acute Hypoxemia - Differential Diagnosis
 • Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Embolism, Pneumothorax ... Embolism, Emphysema ... Pressure Vent, pHTN, Shock ... Differential #Diagnosis #causes ... #pulmonary
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Hypotension / Shock ... valvulopathy • Pulmonary ... embolism • Left ... obstruction • Pulmonary ... #causes
RV Strain in Pulmonary Embolism on POCUS Echocardiogram

A patient is brought by EMS intubated and hypotensive.
RV Strain in Pulmonary ... Embolism on POCUS ... your next step in management ... #RVStrain #Pulmonary ... #Embolism #POCUS
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... exacerbation (any cause ... flow) - Massive pulmonary ... embolism - Pericardial
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
deep breathing Pulmonary ... Tachypnea: • Pulmonary ... embolism • Cardiac ... • Hypovolemic shock ... Differential #Diagnosis #pulmonary
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Pericardial tamponade, Pulmonary ... embolism 2) Understand ... inopressors #diagnosis #management