21 results
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
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... , based on clinical ... #Diagnosis #POCUS ... Evaluation #Protocol #Algorithm ... #High #Chest #Cardiogenic
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Hypovolemic shock ... Acute valve dysfunction ... Prosthetic valve dysfunction ... #Distributive #Cardiogenic ... #Comparison #Table
Takotsubo Cardiomyopathy on POCUS Echocardiogram

Patient is in shock. POCUS RUSH exam shows the shock is cardiogenic.
Patient is in shock ... POCUS RUSH exam ... shows the shock ... is cardiogenic. ... BrokenHeart #Syndrome #Clinical
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
Causes, classification and compensatory responses to shock.

Shock can be caused by any pathological process that leads
Shock can be caused ... vasodilatation, myocardial dysfunction ... hypovolaemic, cardiogenic ... The cause of shock ... is often clinically
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 ... Evaluation #Protocol #Algorithm
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Definition ... shock. ... END-ORGAN DYSFUNCTION ... myxedema, beriberi CARDIOGENIC ... warm #wet #dry #table
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
wall STEMI, in Cardiogenic ... shock, ECG predicted ... Patient was in shock ... established, but died on table ... Angiogram #CathLab #clinical
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 ... Rx: NSTEMI/UA: stable