72 results
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
massive pericardial effusion ... , cardiac tamponade ... Tamponade: pericardial effusion ... Signs: Normal cardiac ... #Comparison #criticalcare
Cardiac Tamponade

#Clinical #POCUS #Echocardiogram #Cardiac #Tamponade #Pericardial #Effusion #Electrical #Alternans
Cardiac Tamponade ... Clinical #POCUS #Echocardiogram ... #Cardiac #Tamponade ... #Pericardial #Effusion
POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior
- Pericardial Effusion ... @SAlerhand #Cardiac ... Evaluation #Cardiology #Effusion ... #Echocardiogram
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... Tachyarrhythmias, Cardiac ... Tachyarrhythmias, Cardiac ... Tachyarrhythmias, Cardiac ... #pharmacology #criticalcare
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... with Pericardial Effusion ... sided pericardial effusion ... #pericardial #effusion ... MyocardialInfarction #AMI #POCUS #Echocardiogram
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
Tamponade in a Shock ... Clinical #POCUS #Echocardiogram ... #Cardiac #Tamponade ... #Pericardial #Effusion
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
to next step if shock ... maintain normal perfusion ... lesions), and cardiac ... #Shock #Algorithm ... #CriticalCare #
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Consider IL NS/LR infusion ... dilated IVC - Cardiac ... Cardiac surgery? ... Management #Summary #criticalcare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... → tension PTX, cardiac ... release syndrome, infusion ... uw_IMresidency #Shock ... table #comparison #criticalcare
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Common Causes of Shock ... HEMORRHAGIC SHOCK ... CARDIOGENIC SHOCK ... SEPTIC SHOCK • ... #CriticalCare