24 results
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Consider IL NS/LR infusion ... Setup - Ultrasound ... elevated JVP, echo ... #Diagnosis #Management
SCAI Pyramid of Cardiogenic Shock Classification
E - Extremis - A patient experiencing cardiac arrest with ongoing
of Cardiogenic Shock ... ongoing CPR and/or ECMO ... volume to restore perfusion ... #Cardiogenic #Shock ... ABCDEs #diagnosis #cardiology
Mechanical Cardiac Support Devices Compared
Cannula Size - Insertion Technique - Haemodynarnic Support
IABP:
 • Afterload: Reduced
 •
Peripheral tissue perfusion ... significant increase ECMO ... Peripheral tissue perfusion ... Devices #Comparison #cardiology ... #management
Bradycardia - Differential Diagnosis Framework and Management
Narrow Complex Bradycardia:
 • Regular: Sinus Bradycardia, AFib w/ AV
Narrow Complex ... AV Block Wide Complex ... epinephrine & start infusion ... epinephrine 4) Page Cardiology ... #cardiology #criticalcare
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... edema - Large effusion ... (no B-lines on ultrasound ... #HeartFailure #Cardiology ... #Management
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
Membrane Oxygenation (ECMO ... artificial circuit ECMO ... heart and lungs (complete ... oxygenator • Assess perfusion ... #Basics #management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC SHOCK ... ) Cardiogenic Shock ... visualization with use of ultrasound ... DCSI #Initiative #Management ... #Cardiology
RV Strain in Pulmonary Embolism on POCUS Echocardiogram

A patient is brought by EMS intubated and hypotensive.
your next step in management ... hypotension & this echo ... followed by 90mg iv infusion ... Echocardiogram #clinical #ultrasound
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... guide etiology & management ... - RUQ ultrasound ... as for septic shock ... pain-dose ketamine infusion
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... essentially Cardiogenic Shock ... Impella, LVAD, ECMO ... differential #algorithm #management ... #cardiology #treatment