14 results
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... Classification ... insufficiency, liver ... CARDIOGENIC 16% • MI, CHF ... Cold and Dry #Shock
FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
protocol - POCUS evaluation ... an ultrasound evaluation ... failure Includes evaluation ... classification ... #Algorithm
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Differential Diagnosis SHOCK ... Insufficiency, Liver ... Decompensated CHF ... #Classification
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Insufficiency, Liver ... Decompensated CHF ... Dehydration Shock ... #criticalcare #algorithm
Causes of Acute Liver Injury - Differential Diagnosis
Hepatocellular - Liver Parenchyma
 • Infectious: Hepatitis C, A,
Causes of Acute Liver ... Hepatocellular - Liver ... Budd-Chiari, Congestion/CHF ... Hepatic Artery: Shock ... Causes #Acute #algorithm
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
uncharacterized fevers ... Consider BCx, CSF ... evaluation as 5 ... Diagnosis #Peds #EM #Classification ... #Fever #SBI #SeriousBacterialIllness
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
dengue severity classification ... days and presents fever ... Shock or respiratory ... Shock evidenced ... bleeding: based on evaluation
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Differential Diagnosis Algorithm ... syndrome, Congestion/CHF ... Hepatic artery: Shock ... VZV • Trauma: Shock ... differential #diagnosis #algorithm
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
- burns - fevers ... HYPERVOLEMIC • CHF ... • liver failure ... Diagnosis #Workup #Algorithm
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... Management Checklist Evaluation ... Troponin, Lactate, Liver ... function tests if shock ... #Checklist #CHF