12 results
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
FALLS-protocol (Fluid ... assessment of Shock ... , i.e. septic shock ... FALLS #protocol #algorithm ... #Fluids #POCUS
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Shock - Differential ... Diagnosis Algorithm ... • Interstitial Fluid ... Differential #Diagnosis #Algorithm ... #causes
SHoC-ED - Does Point-of-Care Ultrasonography Improve Clinical Outcomes in Emergency Department Patients With Undifferentiated Hypotension? 

Ann
SHoC-ED - Does Point-of-Care ... inotrope use, or fluid ... Wilkinsonjonny #SHoCED #POCUS ... Ultrasound #Emergency #Shock ... #CriticalCare #VisualAbstract
SEPSIS AND SEPTIC SHOCK

DEFINITION AND PATHOPHYSIOLOGY
 • Sepsis: Life-threatening organ dysfunction due to a dysregulated host
• 49 million cases ... COMMON CAUSES + ... all suspected cases ... Ringers > Normal Saline ... Norepinephrine is first-line
Undifferentiated shock - Algorithm for the Evaluation of Hypotension. This process for the evaluation of hypotension
Undifferentiated shock ... - Algorithm for ... In the case above ... Hypotension #Evaluation #POCUS ... #EKG #Algorithm
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
volume • Offer Fluid ... Volume • Consider Fluid ... SIADH — look for cause ... hourly • Identify Cause ... Hyponatremia #Management #algorithm
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
undifferentiated shock ... is in impending shock ... / hypoxemia -> focus ... perfusion - shock ... treatments include fluid
The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
non-physiologic fluid ... this post will focus ... Extracellular Fluid ... Intracellular Fluid ... K+ in the ECF causes
SMART Trial - Balanced Crystalloids versus Saline in Critically Ill Adults 

N Engl J Med 2018;
Crystalloids versus Saline ... for intravenous fluid ... death from any cause ... than the use of saline ... #VisualAbstract
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
Nausea/ vomiting ... and no apparent focus ... Fluid accumulation ... Shock or respiratory ... Shock evidenced