2023 results
IDSA Algorithm for the Initial Management of Fever and Neutropenia

LOW RISK
 • Antidpated neutropenia < 7
• Antidpated neutropenia ... < 7 days and clinically ... • Anticipated neutropenia ... >7 days or • Clinically ... #neutropenic #fever
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Shock - Differential ... - Distributive Shock ... Burns • Neurogenic ... - Cardiogenic Shock ... - Obstructive Shock
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... trauma (a.k.a. neurogenic ... shock) Cardiogenic ... DrEricStrong #Shock
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... toxins, spinal/neurogenic ... Cold and Dry #Shock
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... to full shock spectrum ... , based on clinical ... #Diagnosis #POCUS ... #Obstructive #Shock
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... to full shock spectrum ... , based on clinical ... #Diagnosis #POCUS ... #Distributive #Shock
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Hypotension / Shock ... insufficiency • Neurogenic ... shock • Dysautonomia ... Diagnosis #Algorithm #shock
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... , Anaphylaxis, Neurogenic ... Nesiritide 3) Treat shock ... #Vasopressors #shock
Takotsubo Cardiomyopathy on POCUS Echocardiogram

Patient is in shock. POCUS RUSH exam shows the shock is cardiogenic.
Cardiomyopathy on POCUS ... Patient is in shock ... POCUS RUSH exam ... shows the shock ... BrokenHeart #Syndrome #Clinical
RUSH Protocol: Rapid Ultrasound for Shock and Hypotension

Infographic by Dr. Jonny Wilkinson @Wilkinsonjonny 

#RUSH #Protocol #Rapid
Ultrasound for Shock ... Rapid #Ultrasound #Shock ... Diagnosis #Trauma #POCUS