18 results
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
Shock Classification ... in blood flow caused ... Depends on the cause ... Signs: Normal cardiac ... criticalcare #diagnosis #classification
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Bedside Classification ... shock - Vomiting ... Anaphylaxis - Post-cardiac ... #Classification ... Cardiogenic #Comparison #Table
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Thrombus seen on Angiography ... in Cardiogenic shock ... Patient was in shock ... established, but died on table ... clinical #cardiology #fluoroscopy
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Diagnosis by Classification ... exacerbation (any cause ... Differential #Diagnosis #Classification ... #Table #CriticalCare
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC SHOCK ... ultrasound and fluoroscopy ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... IMPELLA Coronary Angiography
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Bradyarrhythmias, Some cases ... Tachyarrhythmias, Cardiac ... Tachyarrhythmias, Cardiac ... Tachyarrhythmias, Cardiac ... Inotropes #comparison #table
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... infarction, following cardiac ... pneumothorax, cardiac ... #Classification ... warm #wet #dry #table
Tricuspid Stenosis on RV Angiogram

RA, RV angio shows domed less mobile TV suggestive of severe TS
RV angio shows domed ... This was a case ... video #cardiology #fluoroscopy ... #angiography
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Shock - Differential ... Diagnosis by Classification ... bradycardia • Sinus pauses ... Differential #Diagnosis #Classification ... #Table #Causes
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... → tension PTX, cardiac ... findings based on cause ... uw_IMresidency #Shock ... Differential #Diagnosis #table