119 results
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
Shock Classification ... a blockage in blood ... massive pericardial effusion ... Pulmonary embolism ... Tamponade: pericardial effusion
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Common Causes of Shock ... HEMORRHAGIC SHOCK ... begin packed red blood ... CARDIOGENIC SHOCK ... pressure (PEEP) for pulmonary
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... echocardiography - CBC ... edema - Large effusion ... nitroglycerine infusion ... (no B-lines on ultrasound
Right pleural effusion with "spine sign" seen beautifully by using large footprint curvilinear transducer on lung
Right pleural effusion ... Point of Care Ultrasound ... Lung #Pleural #Effusion ... #ultrasound #pulmonary
Knee Effusions - Arthrocentesis Interpretation

Inflammatory arthritis:
 • Color: Yellow-> Green
 • Clarity: Opaque
 • Viscosity: Low
Knee Effusions - ... Viscosity: Low • WBC ... : Variable • WBC ... amplification of blood ... rav7ks #Knee #Effusions
Spine sign: visualization of the vertebral bodies in the thoracic cavity above the diaphragm indicative of
indicative of pleural effusion ... absence of pleural effusion ... Clinical #Pleural #Effusion ... #Pulmonary #Lung ... #Ultrasound
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... obstruction to blood ... flow) - Massive pulmonary ... DrEricStrong #Shock
Approach to Hemorrhagic Shock
PLAN FOR CONTROLLING HEMORRHAGE & ACTIVATE MASSIVE TRANSFUSION PROTOCOL
 • Activate massive transfusion
to Hemorrhagic Shock ... product faster USE BLOOD ... resuscitation with blood ... • Can use CBC ... #Hemorrhagic #Shock
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... possible w/ early shock ... Consider IL NS/LR infusion ... Setup - Ultrasound ... Tamponade - Pulmonary
Acute Hypoxemia - Differential Diagnosis
 • Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... Intracardiac, Pulmonary ... Hemorrhage • Impaired Diffusion ... Pressure Vent, pHTN, Shock