11 results
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
and Differential Diagnosis ... Failure, Toxins/Medications ... , CVP > 12 • Pulmonary ... Embolism, Tension ... #Differential #Diagnosis
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Failure, Toxins/Medications ... • Obstructive: Pulmonary ... Embolism, Tension ... ) UOP > 0.5 cc/kg
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
, tachycardia, hypoxemia ... over 2 h (>65 kg ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Cardiac Tamponade, Pulmonary ... Embolism, Outflow ... Pipes Problem (↓ SVR ... thyrotoxicosis), Medications ... #diagnosis #differential
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Prepare • Full Set ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... Tamponade - Pulmonary
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
- Differential Diagnosis ... Respiratory: • Pulmonary ... EmbolismHypoxia ... • Anemia • Medications ... Tachyarrhythmia: • VT
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
o Circulatory embolism ... o Aspiration, pulmonary ... Intraoperative #Checklist #Diagnosis ... #Workup #Management ... #Workup #anesthesia
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
- Differential Diagnosis ... laboratory or diagnostic ... output - Acute pulmonary ... - HIV/HAART medications ... #Differential #Diagnosis
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
4 H’s, 4 T’s: Hypoxia ... Anaphylaxis (→ 3-1) Embolism ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
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
Hypovolemic shock ... ↑ Cardiogenic shock ... 1 ↑ Septic shock ... Embolism ↓ ↑ ... LCWI 3.4-4.2 kg