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diagnosis criticalcare differential causes classification overview treatment cardiology cardiomyopathy encephalopathy environment evaluation hyperkalemia lactate map mountain multiple neurology obgyn perioperative
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Lactate > 1.5 High ... Injury Low CO / High ... ) UOP > 0.5 cc/kg ... #criticalcare #algorithm ... #treatment #management
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... death -> end-organ dysfunction ... oliguria (< 0.5 mL/kg ... areas, back of thigh ... Classification #diagnosis #management
Systemic Inflammatory Response Syndrome (SIRS) • Non-specific (infections vs non-infectious) • ≥2 of the following: o Temp >38°C or <36°C o HR >90 bpm o RR
(≥2 indicates high ... Septic Shock • ... >2 mmol/L Management ... fluids (30 mL/kg ... #sepsis #sirs #shock
Algorithm for management of Multiple Trauma in Mountain Environment Complete primary survey - Haemorrhage control (regional and
Algorithm for management ... - A - Airway management ... . long fall, high ... SMR - Consider POCUS ... #Environment #Algorithm
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... death -> end-organ dysfunction ... oliguria (< 0.5 mL/kg ... areas, back of thigh ... Classification #diagnosis #management
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management ... Algorithm • IV ... potassium and ECG ... morphology, "Sine wave" pattems ... hyperkalemia #potassium #high
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Infection/Sepsis/Shock ... unclear, endothelial dysfunction ... Imaging Patterns ... • EEG: With persistent ... Syndrome #diagnosis #management
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... or LV dysfunction ... medical and surgical management
Peripartum Cardiomyopathy (PPCM) What is PPCM? • A form of acute systolic heart failure that develops late in
⚠️ Cardiogenic shock ... • Key Point: High ... absence of systolic dysfunction ... thyrotoxicosis, and other high-output ... recognition and management
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