21 results
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... Vasodilation) - Cardiogenic ... contractility) - Obstructive ... (Mechanical obstruction ... Symptoms #Findings #Comparison
Summary Table of how the 4 types of shock affect the circulatory system: 
 - Hypovolemic
the 4 types of shock ... Hypovolemic - Cardiogenic ... Distributive - Obstructive ... #Comparison #Table ... #Distributive #Obstructive
Dilated Abdominal Veins and Caput Medusae - Direction of Blood Flow

Vein Milking technique can be used
• IVC Obstruction ... • SVC Obstruction ... : - If obstruction ... distend - If obstruction ... #comparison #abdominal
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Hypotension / Shock ... • Severe bum Cardiogenic ... infarction • Acute ... ventricular outflow obstruction ... Dysautonomia Obstructive
Shock Classification Types - Comparison Table
JVP, IVC on Ultrasound, Passive Leg Raise, Temperature of extremities, LV
Shock Classification ... Types - Comparison ... Hypovolemic Distributive Cardiogenic ... Obstructive - ... #Types #Comparison
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... ) Cardiogenic ( ... contractility) - Acute ... - Myocarditis Obstructive ... (Mechanical obstruction
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
intuitive way to use ultrasound ... along the peri-shock ... to full shock spectrum ... #High #Chest #Cardiogenic ... #Obstructive #Shock
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... Neurogenic • Cardiogenic ... : Acute MI, Acute ... Pancreatitis • Obstructive ... diagnosis #management #comparison
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Hypovolemic shock ... cardiomyopathy Acute ... LV outflow Obstruction ... #Distributive #Cardiogenic ... #Comparison #Table
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
Lung Ultrasound ... assessment of Shock ... sequentially rule out obstructive ... , then cardiogenic ... , i.e. septic shock