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FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - ... POCUS evaluation ... FALLS-protocol is ... an ultrasound evaluation ... classification
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 ... #Obstructive #Shock
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 ... #Distributive #Shock
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
tree of FALLS-protocol ... assessment of Shock ... According to Weil classification ... , i.e. septic shock ... #Fluids #POCUS
Rapid Ultrasound in SHock Evaluation
RUSH Protocol:
 • PUMP: LV contractility, RV strain, tamponade
 • TANK: IVC
Ultrasound in SHock ... Evaluation RUSH ... Protocol: • PUMP ... diagnosis #Ultrasound #pocus ... #shock
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
• Fever: hospitalized pts but
Adult Clinical Evaluation ... Presentation • Fever ... myocarditis • ENT: Taste ... UCSF #COVID19 #Evaluation ... Diagnosis #Algorithm #Protocol
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Cardiogenic & Septic Shock ... Pain / Exercise, Fever ... Microcirculatory dysfunction ... Drugs/Toxins: - Propofol ... Mitochondrial dysfunction
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
dengue severity classification ... days and presents fever ... and no apparent focus ... Shock evidenced ... bleeding: based on evaluation
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
undifferentiated shock ... is in impending shock ... / hypoxemia -> focus ... - Cyanide - Propofol ... #typea #typeb #classification