11 results
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
(Intravascular volume ... ) Cardiogenic ( ... flow) - Massive pulmonary ... tamponade - Tension pneumothorax ... Classification #Table #CriticalCare
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Spinal Cord Injury Cardiogenic ... Decompensated CHF ... , CVP > 12 • Pulmonary ... Embolism, Tension Pneumothorax ... Diagnosis #Types #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
High SVR: • Cardiogenic ... Decompensated CHF ... • Obstructive: Pulmonary ... Embolism, Tension Pneumothorax ... Differential #Diagnosis #criticalcare
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
1 — Treat the lungs ... — Optimize the volume ... (no B-lines on ultrasound ... suggests total body volume ... #CHF #Shock #Cardiogenic
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Setup - Ultrasound ... Tamponade - Pulmonary ... Acute PE, Tension Pneumothorax ... >> Aggressive volume ... resuscitation • Cardiogenic
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
myxedema, beriberi CARDIOGENIC ... filling) → tension pneumothorax ... intravascular volume ... Nonhemorrhagic → volume ... diagnosis #management #criticalcare
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
4 categories: cardiogenic ... OBSTRUCTIVE: Tension Pneumothorax ... Cardiac Tamponade, Pulmonary ... Third-Spacing Volume ... guyton #curves #criticalcare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
in obstructive lung ... exacerbation (cardiogenic ... pulmonary edema ... intrathoracic damage (pneumothorax ... #indications #criticalcare
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
, traction for long ... CARDIOGENIC SHOCK ... pressure (PEEP) for pulmonary ... If volume restoration ... #CriticalCare
Basics of Waveform Capnography
Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide
Can use measurement and morphology
also be seen with pneumothorax ... ß-angle both >900 • CARDIOGENIC ... the heart to the lung ... produces small volume ... indicate: - Shock