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Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Cardiogenic Shock ... Classification Table ... I) - Warm & Wet ... Ill) - Cold & Wet ... Classification #CHF
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... CARDIOGENIC 16% • MI, CHF ... • Cold and Wet ... Cold and Dry #Shock
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Definition ... shock. ... CARDIOGENIC (Cold and wet ... management #cold #warm #wet ... #dry #table
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
presentation (“Warm & Wet ... overdiuresis of a Wet ... congested (“Cold & Wet ... #differential #algorithm ... #heartfailure #chf
Approach to Eosinophilic Lung Diseases
 • Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
wheezing; +systemic: wt ... Hx of asthma, CF ... hemoptysis; +systemic: wt ... systemic: fatigue, wt ... diagnosis #comparison #table
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 • Chronic Myocardial Injury: End
Diagnosis and Workup Algorithm ... Pre-Coronarv): Shock ... Tachycardia-induced HF ... Occlusion • Stable ... Differential #Diagnosis #Algorithm
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
THERAPY • Remove wet ... CPR • Max 3 shocks ... management #treatment #algorithm
Blastomycosis Summary

Pathogen: 
 • Dimorphic fungus - Blastomyces dermatitidis or Blastomyces gilchristii.
 • The fungus lives
adjacent to the focus ... Diagnosis: 1) Fresh wet ... pleural fluid, BAL, CSF