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diagnosis cardiology management differential criticalcare treatment algorithm causes atrial cardiogenic fibrillation heartfailure afib bradi bradycardia cardiomyopathy checklist chest chestpain classification
Rapid Ultrasound in SHock Evaluation RUSH Protocol: • PUMP: LV contractility, RV strain, tamponade • TANK: IVC
Rapid Ultrasound ... in SHock Evaluation ... veins • P - Pneumothorax ... Jack CF Chong @jackcfchong ... #pocus #shock
Non-lschemic Causes of Cardiogenic Shock: Beta-Blockers, Calcium Channel Blockers, Digoxin Myocarditis Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, hemochromatosis) Valvular
of Cardiogenic Shock ... Channel Blockers, Digoxin ... Tamponade, pulmonary ... #Cardiogenic #Shock ... Differential #Diagnosis #Cardiology
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
Shock Classification ... Differential Diagnosis SHOCK ... Decompensated CHF ... , CVP > 12 • Pulmonary ... Embolism, Tension Pneumothorax
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
- TSH and/or digoxin ... (no B-lines on ultrasound ... patient - Note: Digoxin ... #Checklist #CHF ... #HeartFailure #Cardiology
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Decompensated CHF ... • Obstructive: Pulmonary ... Embolism, Tension Pneumothorax ... Dehydration Shock
Chest Pain - Differential Diagnosis Framework Cardiovascular Causes of Chest Pain: • Myocardium: - Myocarditis - CAD/ACS - Valvulopathy - Myopericarditis
- Tamponade Pulmonary ... • Alveoli: - CHF ... - Effusion - Pneumothorax ... Diagnosis #Causes #Cardiology
Atrial Fibrillation Overview Symptoms: Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. 1. Why? Cardiac: • Valvular heart disease •
Decompensated HF ... Noncardiac: • Pulmonary ... β-Blocker • CCB • Digoxin ... #Fibrillation #Cardiology
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... possible w/ early shock ... Setup - Ultrasound ... Tamponade - Pulmonary ... Acute PE, Tension Pneumothorax
Tachypnea - Differential Diagnosis Framework Definitions • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults •
deep breathing Pulmonary ... Pneumonia • CHF ... • Pneumothorax ... Tachypnea: • Pulmonary ... • Hypovolemic shock
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
blocking agent • Shock ... Hyperkalemia Pulmonary ... channel blockers • Digoxin ... diagnosis #causes #cardiology
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