11 results
RV Strain in Pulmonary Embolism on POCUS Echocardiogram

A patient is brought by EMS intubated and hypotensive.
RV Strain in Pulmonary ... Echocardiogram ... your next step in management ... #RVStrain #Pulmonary ... #Echocardiogram
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Arrhythmias / CHB ... Pericardial tamponade, Pulmonary ... embolism 2) Understand ... vasoactive drug pharmacology ... inopressors #diagnosis #management
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... Stable, Transient Hypotension ... , Shock) Excerpted ... #Embolism #Risk ... prognostication #diagnosis #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
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Shock - Differential ... Decompensated CHF ... • Obstructive: Pulmonary ... Embolism, Tension ... algorithm #treatment #management
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Cold and Dry) • Puimonary ... failure from massive pulmonary ... embolism or severe ... pulmonary hypertension ... types #diagnosis #management
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Cold and Dry) • Pulmonary ... failure from massive pulmonary ... embolism or severe ... pulmonary hypertension ... Types #diagnosis #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... hypertension Rx ... 20 mg q6hr) - Hypotension ... #Checklist #CHF ... HeartFailure #Cardiology #Management
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
irrigation • Management ... Torsemide) • Acute pulmonary ... Metolazone) • Hypertension ... • Hypovolemic shock ... Diuresis #Nephrology #Pharmacology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
heart disease • Hypertensive ... cardiomyopathy • Pulmonary ... embolus 3. ... May have typical HF ... Pts: cardiogenic shock
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... essentially Cardiogenic Shock ... differential #algorithm #management ... #heartfailure #chf ... icu #clinical #pharmacology