12 results
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... ) • Septic → dysregulated ... failure from massive pulmonary ... embolism or severe pulmonary ... ventricular filling) → tension
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... ) • Septic → dysregulated ... Cold and Dry) • Pulmonary ... embolism or severe pulmonary ... ventricular filling) → tension
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Consider IL NS/LR infusion ... Tamponade - Pulmonary ... >> Acute PE, Tension ... - Septic
Osteomyelitis / Septic Arthritis on POCUS

A diabetic adult presents with pain and fever at this site.
Osteomyelitis / Septic ... Arthritis on POCUS ... with overlying effusion ... and tendon. ... #ultrasound #msk
Empyema on POCUS

89-year-old male with fever and dyspnea. Lung ultrasound reveals what chest x-ray hides -
Empyema on POCUS ... ultrasound reveals what chest ... x-ray hides - Loculated ... Pleural Effusion ... #Clinical #Pulmonary
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Arthritis on POCUS ... Tender on top of ... AC joint showed effusion ... #POCUS #clinical ... #ultrasound #MSK
Sternal fracture on POCUS. 

60 year old PT, fell on her chest 4 days ago, tender
PT, fell on her chest ... 4 days ago, tender ... central mid chest ... of pericardial effusion ... #ultrasound #msk
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
effort, Signs of tension ... Binder) • Use POCUS ... - Hemorrhagic shock ... a late sign of shock ... signs Neurogenic shock
Perform computations online at:
ScyMed.com
6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

→
↑
RV
SVR Hypovolemic shock ... ↑ Cardiogenic shock ... 1 1 ↑ Septic ... shock ↓ ↓ ↓ ... DP-PCWP Coronary Perfusion
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
/hypoxemia/Sepsis ... / hypoxemia -> focus ... on improving perfusion ... output - Acute pulmonary ... syndrome - Sepsis