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FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - ... POCUS evaluation ... FALLS-protocol is ... classification ... #Shock #Algorithm
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... High or Think Low ... Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm ... #Low #Abdomen #
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... to full shock spectrum ... High or Think Low ... Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
bleeding out (trauma, GI ... • Hypovolemic: GI ... #Classification ... #diagnosis #management ... differential #causes #classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
bleeding out (trauma, GI ... • Hypovolemic: GI ... #Classification ... #diagnosis #management ... differential #causes #classification
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
1.5 High CO / Low ... Spinal Cord Injury Low ... Hypovolemic: Blood Loss, GI ... #criticalcare #algorithm ... #treatment #management
Approach to Hemorrhagic Shock
PLAN FOR CONTROLLING HEMORRHAGE & ACTIVATE MASSIVE TRANSFUSION PROTOCOL
 • Activate massive transfusion
to Hemorrhagic Shock ... MASSIVE TRANSFUSION PROTOCOL ... • Determine how ... surgical, IR, or GI ... #Management #Summary
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
• Fever: hospitalized pts but
Adult Clinical Evaluation ... rhinorrhea) <20% • GI ... normal, can be low ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
mental status and low ... are excellent at evaluating ... essentially Cardiogenic Shock ... #differential #algorithm ... #management #cardiology
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
Hypothermia - Protocol ... fluid warmer • Slow ... CPR • Max 3 shocks ... #management #treatment ... #algorithm