21 results
Rapid Ultrasound in SHock Evaluation
RUSH Protocol:
 • PUMP: LV contractility, RV strain, tamponade
 • TANK: IVC
Rapid Ultrasound ... in SHock Evaluation ... • PIPE: Aortic dissection ... veins • P - Pneumothorax ... Jack CF Chong @jackcfchong
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Decompensated CHF ... , CVP > 12 • Pulmonary ... Embolism, Tension Pneumothorax ... #Classification
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... • Obstructive: Pulmonary ... Embolism, Tension Pneumothorax ... Treatment Goals ... criticalcare #algorithm #treatment
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Diagnosis by Classification ... flow) - Massive pulmonary ... tamponade - Tension pneumothorax ... Differential #Diagnosis #Classification
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... valvular rupture, dissection ... embolism or severe pulmonary ... filling) → tension pneumothorax ... #Classification
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... valvular rupture, dissection ... Cold and Dry) • Pulmonary ... filling) → tension pneumothorax ... #Classification
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
Shock Classification ... tamponade, or tension pneumothorax ... Pulmonary embolism ... or pneumothorax ... criticalcare #diagnosis #classification
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Vascular: - Aortic dissection ... - Tamponade Pulmonary ... • Alveoli: - CHF ... - Effusion - Pneumothorax
Aortic Dissection - Diagnosis and Management Summary
 • HPI: sudden onset, "tearing" chest pain, radiation to
Aortic Dissection ... • Imaging: CTA Dissection ... protocol • Classification ... anticoagulation - MH/CCF ... Management #summary #treatment
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Setup - Ultrasound ... Tamponade - Pulmonary ... Acute PE, Tension Pneumothorax ... #criticalcare #treatment