21 results
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
(mild ↑CO) - Side ... Tachyarrhythmias, Cardiac ... Tachyarrhythmias, Cardiac ... Tachyarrhythmias, Cardiac ... Inotropes #comparison #table
RUSH(ed) Exam - POCUS Protocol
Rapid Ultrasound in Shock and Hypotension
1. Parasternal Long Cardiac View
2. Apical Four-Chamber
Protocol Rapid Ultrasound ... in Shock and Hypotension ... Parasternal Long Cardiac ... Aortic Slide Views ... #shock
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... Note larger right sided ... concerning for cardiac ... MyocardialInfarction #AMI #POCUS #Echocardiogram ... #ultrasound #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Abnormal ECG, echocardiogram ... • Cardiogenic shock ... , sudden cardiac ... death Management ... Myocarditis #Diagnosis #Management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Setup - Ultrasound ... dilated IVC - Cardiac ... Cardiac surgery? ... #Diagnosis #Management
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
shock. ... infarction, following cardiac ... pneumothorax, cardiac ... Types #diagnosis #management ... warm #wet #dry #table
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC SHOCK ... visualization with use of ultrasound ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... DCSI #Initiative #Management
Candidates for Medical Treatment of Ectopic Pregnancy with Methotrexate 
 - Hemodynamically stable 
 - No
Hemodynamically stable ... - No fetal cardiac ... activity on ultrasound ... Ectopic #Pregnancy #Management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... guide etiology & management ... - RUQ ultrasound ... as for septic shock ... limit them as able
ExtraCorporeal Membrane Oxygenation (ECMO) Fundamentals
Definitions:
 • ExtraCorporeal Membrane Oxygenation (ECMO) provides prolonged pulmonary and/or circulatory support
to the Venous side ... to the Arterial side ... Support (VA) - cardiac ... PE, cardiogenic shock ... Oxygenation #diagnosis #management