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diagnosis management cardiology criticalcare clinical echocardiogram treatment differential thrombus cardiac foamed a4c acidosis artery calculations catheter catheterization causes chf classification
Rapid Ultrasound in SHock Evaluation RUSH Protocol: • PUMP: LV contractility, RV strain, tamponade • TANK: IVC
Ultrasound in SHock ... Protocol: • PUMP: LV ... aneurysms, DVT HI-MAP ... diagnosis #Ultrasound #pocus ... #shock
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
RESISTANCE = [(MAP ... or hypovolemic shock ... OUTPUT (CPO) = (MAP ... delivered by the LV ... and influences LV
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Framework - MAP ... Dehydration Shock ... Treatment Goals: 1) MAP ... #criticalcare #algorithm
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... SBP drop >40, MAP ... possible w/ early shock ... and Survey 4) Workup ... criticalcare #treatment #workup
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
Care Medicine algorithm ... to next step if shock ... Subsequent ICU goals—if shock ... perfusion pressure (MAP ... #Shock #Algorithm
Undifferentiated shock - Algorithm for the Evaluation of Hypotension. This process for the evaluation of hypotension
Undifferentiated shock ... - Algorithm for ... checkpoints that may ... Hypotension #Evaluation #POCUS ... #EKG #Algorithm
Perform computations online at: ScyMed.com 6th ED ICU-card «ICU, Formulas & Drugs» HEMODYNAMIC PATTERNS Condition SAP CVP PAP PCWP CO C(a-v)02 PVR SVR Hypovolemic shock ↓ ↓ ↓ ↓ ↓ ↑ ↑ ↑ Cardiogenic shock ↓ 1 ↑ 1 1 ↑ Septic shock ↓ ↓ ↓ ↓ ↑ ↓ ↓ ↓ Cardiac Tamponade . ↑ ↑ 1 ↓ → ↑ RV
Volume PRESSURES MAP ... 1500 dyn*s/cm5 (MAP-CVP ... dyn*s/cm5*m2 ((MAP-CVP ... 4.2 kg*m/m2 CI*MAP ... 62 g*m/m2 SI*MAP
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
undifferentiated shock ... is in impending shock ... / hypoxemia -> focus ... ischemia, surgery may ... Hypovolemia - LV
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
exam findings may ... They may benefit ... from LV afterload ... essentially Cardiogenic Shock ... #differential #algorithm
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
heart (Sepsis, Shock ... of Systole, the LV ... situations which may ... where Cardiology may ... #diagnosis #algorithm
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