12 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... Arrhythmias / CHB ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... #management #comparison
RUSH(ed) Exam - POCUS Protocol
Rapid Ultrasound in Shock and Hypotension
1. Parasternal Long Cardiac View
2. Apical Four-Chamber
RUSH(ed) Exam - ... Pulmonary View ... Pulmonary View ... POCUS #Protocol #diagnosis ... #ultrasound #shock
Rapid Ultrasound in SHock Evaluation
RUSH Protocol:
 • PUMP: LV contractility, RV strain, tamponade
 • TANK: IVC
Rapid Ultrasound ... in SHock Evaluation ... #RUSH #Exam ... #protocol #diagnosis ... #shock
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Decompensated CHF ... • Obstructive: Pulmonary ... #Differential #Diagnosis ... algorithm #treatment #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... - Management Checklist ... (no B-lines on ultrasound ... #Checklist #CHF ... HeartFailure #Cardiology #Management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Setup - Ultrasound ... Tamponade - Pulmonary ... #Diagnosis #Management
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Salicylate Toxicity - Diagnosis ... Seizure, Coma Exam ... , Diaphoresis, Pulmonary ... edema, Shock Labs ... Toxicity #Toxicology #diagnosis
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... with presence of pulmonary ... essentially Cardiogenic Shock ... #algorithm #management ... #heartfailure #chf
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... disease b) CHF ... days before Pulmonary ... medical and surgical management ... stratification #diagnosis
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... cardiomyopathy • Pulmonary ... May have typical HF ... Pts: cardiogenic shock ... Cardiomyopathy #diagnosis