9 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
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
FALLS-protocol (Fluid ... assessment of Shock ... obstructive, then cardiogenic ... FALLS #protocol #algorithm ... #Fluids #POCUS
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 ... #Diagnosis #POCUS ... Evaluation #Protocol #Algorithm ... #High #Chest #Cardiogenic
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
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Shock - Differential ... Diagnosis Algorithm ... Extremities - Cardiogenic ... • Interstitial Fluid ... Differential #Diagnosis #Algorithm
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 ... Indications #Cardiac #catheterization
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
Pulmonary Arterial Catheterization ... or the type of shock ... despite adequate fluid ... those with severe cardiogenic ... shock (eg, acute
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... function tests if shock ... severe or w/ organ dysfunction ... the volume - Fluid ... #CHF #Shock #Cardiogenic
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
needing a little fluid ... achieved negative fluid ... is essentially Cardiogenic ... Shock. ... #differential #algorithm