11 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... (no B-lines on ultrasound ... NSAlDs, ACE-inhibitors ... #CHF #Shock #Cardiogenic ... #Management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ... visualization with use of ultrasound ... TIMI III flow in all ... DCSI #Initiative #Management ... #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Abnormal ECG, echocardiogram ... Elevated troponin • Cardiogenic ... shock, sudden cardiac ... death Management ... #Cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Setup - Ultrasound ... Tamponade - Pulmonary ... resuscitation • Cardiogenic ... #Diagnosis #Management
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
- Acute HF, Cardiogenic ... shock, Arrythmias ... agent, steroids, AC ... Myocarditis #diagnosis #management ... #cardiology #summary
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy • Pulmonary ... Minority of Pts: cardiogenic ... shock and severe ... • Avoid ARB/ACE-I ... #cardiology #treatment
If the choice is available, biphasic waveform devices have greater efficacy than monophasic.In terms of the
level, Mittal et al ... for escalating shock ... #Management #EBM ... #EM #IM #Cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... with presence of pulmonary ... is essentially Cardiogenic ... Shock. ... differential #algorithm #management
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
heart (Sepsis, Shock ... Cardiology cannot ... “one size fits all ... #echocardiogram ... #management #clinical
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber

50's male witnessed arrest. Unknown hx. AED no
Fibrillation on POCUS Echocardiogram ... AED no shock advised ... Prehosp ACLS-Asystole ... VFib #S4C #POCUS #Echocardiogram ... #ultrasound #Cardiology