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Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Cardiogenic Shock ... Forrester Classification ... Table and Mortality ... Class II) - Cold ... Class Ill) - Cold
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... CARDIOGENIC (Cold ... Hemorrhagic → leading ... #Classification ... warm #wet #dry #table
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... beriberi CARDIOGENIC (Cold ... ring OBSTRUCTIVE (Cold ... Hemorrhagic → leading ... #Classification
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Shock - Differential ... Diagnosis Algorithm ... • Neurogenic Cold ... • Interstitial Fluid ... Differential #Diagnosis #Algorithm
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
FALLS-protocol (Fluid ... assessment of Shock ... According to Weil classification ... FALLS #protocol #algorithm ... #Fluids #POCUS
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Diagnosis by Classification ... Anaphylaxis - Spinal cord ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
Shock Classification ... Obstructive Shock ... internal or external fluid ... loss leading to ... criticalcare #diagnosis #classification
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
needing a little fluid ... and congested (“Cold ... essentially Cardiogenic Shock ... #differential #algorithm ... cardiology #treatment #table
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
functional status - Able ... metabolic equivalent able ... any evidence of fluid ... event, follow ACC algorithm ... Stable patients
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
dengue severity classification ... Fluid accumulation ... Shock or respiratory ... Shock evidenced ... , tachycardia, cold