31 results
Summary Table of how the 4 types of shock affect the circulatory system: 
 - Hypovolemic
Summary Table of ... the 4 types of shock ... #Diagnosis #Management ... #Types #Shock # ... Comparison #Table
PCI in Acute MI with Cardiogenic Shock. #EBM #Cardiology #CULPRITSHOCK #PCI #VisualAbstract #NEJM
PCI in Acute MI ... with Cardiogenic ... Shock. ... VisualAbstract #NEJM
Cardiogenic Shock - Diagnosis and Management Summary
Identifying Hypoperfusion from Cardiac Dysfunction
 • Exam: Congestion vs Hypoperfusion
Cardiogenic Shock ... Diagnosis and Management ... Hypoperfusion from Cardiac ... @SkylerLentz #Cardiogenic ... #Shock #Diagnosis
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
), Cardiogenic shock ... Tachyarrhythmias, Cardiac ... Tachyarrhythmias, Cardiac ... Tachyarrhythmias, Cardiac ... Inotropes #comparison #table
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Hypovolemic shock ... Anaphylaxis - Post-cardiac ... Endocarditis - Post-MI ... #Distributive #Cardiogenic ... #Comparison #Table
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... Elevated troponin • Cardiogenic ... shock, sudden cardiac ... death Management ... Myocarditis #Diagnosis #Management
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... Neurogenic • Cardiogenic ... : Acute MI, Acute ... inopressors #diagnosis #management ... #comparison #table
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Dobutamine - Dobutrex - Cardiogenic ... - Primacor - Cardiogenic ... shock Dr. ... Vasopressors #Inotropes #management ... summary #comparison #table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... ) Cardiogenic ( ... contractility) - Acute MI ... Classification #Table
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC ... SHOCK INITIATIVE ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... DCSI #Initiative #Management