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Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
massive pericardial effusion ... Echocardiographic Signs ... Tamponade: pericardial effusion ... external fluid loss leading ... #criticalcare #diagnosis
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Full Set of Vital Signs ... Setup - Ultrasound ... and Survey 4) Workup ... Cardiac surgery?
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... pneumothorax, cardiac ... commonly due to trauma ... gastrointestinal bleeding ... Classification #Types #diagnosis
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... pneumothorax, cardiac ... commonly due to trauma ... gastrointestinal bleeding ... Classification #types #diagnosis
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Pediatric Trauma ... Binder) • Use POCUS ... ↓ BP is a late sign ... of shock • Find ... #Pediatrics #Trauma
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
and no apparent focus ... Shock or respiratory ... Shock evidenced ... Severe bleeding: ... classification #diagnosis
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... of blood, pus, effusion ... cardiothoracic surgery, trauma ... examination and vital signs ... #Management #Workup
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... importantly, bedside ultrasound ... essentially Cardiogenic Shock ... Cardiac cath if
Pediatrics Sepsis Screening
SIGNS OF INFECTION?
 • Fever (>38C)
 • Hypothermia (<36C)
 • Cough/chest pain/respiratory distress
 •
swelling/rash • ↓ feeding ... Immunocompromised • Cardiac ... SEPSIS/SEPTIC SHOCK ... • Perfusion changes ... Pediatrics #peds #diagnosis