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diagnosis cardiology criticalcare management differential protocol causes classification evaluation overview abdomen artery calculations cardiac cardiomyopathy catheter cathlab chest distributive equations
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... call it, “Think High ... #Diagnosis #POCUS ... Evaluation #Protocol #Algorithm ... #High #Chest #Cardiogenic
Cardiogenic Shock - Diagnosis and Management Summary Identifying Hypoperfusion from Cardiac Dysfunction • Exam: Congestion vs Hypoperfusion
Cardiogenic Shock ... Hypoperfusion from Cardiac Dysfunction ... Diagnostic Studies • POCUS ... @SkylerLentz #Cardiogenic ... #Shock #Diagnosis
Inpatient Cath Lab Indications Cath Lab ASAP: STEMI NSTEMI: 1. Unstable/cardiogenic shock 2. Severe LV dysfunction or 3. Recurrent/persistent rest angina despite
Unstable/cardiogenic ... shock 2. ... Severe LV dysfunction ... intermediate (3-4) or high ... Indications #Cardiac #catheterization
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
Right Heart Catheterization ... correlates with RV dysfunction ... 0.8 indicates RV dysfunction ... 0.63 predicted RV dysfunction ... #Right #Heart #Catheterization
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 ... call it, “Think High ... #Diagnosis #POCUS ... Evaluation #Protocol #Algorithm
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
assessment of Shock ... obstructive, then cardiogenic ... , i.e. septic shock ... FALLS #protocol #algorithm ... #Fluids #POCUS
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Lactate > 1.5 High ... Injury Low CO / High ... SVR: • Cardiogenic ... #criticalcare #algorithm
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... of hypotension Shock ... death -> end-organ dysfunction ... areas, back of thigh ... wound. drains) Cardiogenic
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... of hypotension Shock ... death -> end-organ dysfunction ... areas, back of thigh ... wound. drains) Cardiogenic
Peripartum Cardiomyopathy (PPCM) What is PPCM? • A form of acute systolic heart failure that develops late in
escalate to: ⚠️ Cardiogenic ... shock ⚠️ Arrhythmias ... • Key Point: High ... absence of systolic dysfunction ... thyrotoxicosis, and other high-output
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