12 results
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Hypovolemic shock ... Anaphylaxis - Post-cardiac ... Endocarditis - Post-MI ... Cardiogenic #Comparison ... #Table #Diagnosis
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Diagnosis Algorithm ... Extremities - Distributive ... Extremities - Cardiogenic ... Pneumothorax • Cardiac ... Tamponade - Hypovolemic
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Differential Diagnosis Algorithm ... Hypovolemic: ... • Severe bum Cardiogenic ... hypertension Distributive ... Obstructive: • Cardiac
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Classification Hypovolemic ... Intractable vomiting Distributive ... ) Cardiogenic ( ... contractility) - Acute MI ... Classification #Table
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
classification, cardiac ... obstructive, then cardiogenic ... left heart) then hypovolemic ... then distributive ... FALLS #protocol #algorithm
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
4 categories: cardiogenic ... , obstructive, distributive ... , hypovolemic Pump ... Pneumothorax, Cardiac ... pancreatitis, post-cardiac
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Distributive ... Neurogenic • Cardiogenic ... : Acute MI, Acute ... Arrhythmias / CHB • Hypovolemic ... management #comparison #table
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
MAP = CO x SVR Hypovolemic ... pressure, pallor Cardiogenic ... failure, acute MI ... based on cause Distributive ... Differential #Diagnosis #table
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
/ Low SVR: • Distributive ... High SVR: • Cardiogenic ... Pneumothorax, Cardiac ... compression • Hypovolemic ... #criticalcare #algorithm
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Pneumothorax • Hypovolemic ... resuscitation • Cardiogenic ... Shock - MI ... Cardiac surgery? ... • Distributive Shock