30 results
Cardiogenic Shock - Diagnosis and Management Summary
Identifying Hypoperfusion from Cardiac Dysfunction
 • Exam: Congestion vs Hypoperfusion
Cardiogenic Shock ... Diagnosis and Management ... Hypoperfusion from Cardiac ... #Cardiogenic #Shock ... #cardiology
Algorithm for bradycardic peri-arrest 
 - Bradycardiac peri-arrest may be loosely defined as severe bradycardia with
bradycardia with marked shock ... for immediate cardiac ... patients will respond best ... Periarrest #Algorithm #Management ... #CriticalCare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Pneumothorax, Cardiac ... #Differential # ... Diagnosis #criticalcare ... algorithm #treatment #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Setup - Ultrasound ... Cardiac surgery? ... #Diagnosis #Management ... #Summary #criticalcare
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
visualization with use of ultrasound ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... DCSI #Initiative #Management ... #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
• Cardiogenic shock ... , sudden cardiac ... death Management ... Myocarditis #Diagnosis #Management ... #Cardiology
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
infarction, following cardiac ... pneumothorax, cardiac ... types #diagnosis #management ... #criticalcare # ... differential
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Abnormalities - Differential ... pressure >10mmHg: • Cardiac ... • Hypovolemic shock ... Abnormalities #Disorders #Cardiology ... #Differential #
Bradycardia - Differential Diagnosis Framework and Management
Narrow Complex Bradycardia:
 • Regular: Sinus Bradycardia, AFib w/ AV
Bradycardia - Differential ... Framework and Management ... epinephrine 4) Page Cardiology ... #Bradycardia #Differential ... #cardiology #criticalcare
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Manage chronic cardiac ... HF, Cardiogenic shock ... Myocarditis #diagnosis #management ... #cardiology #summary