Dr. Gerald Diaz @GeraldMD
50.0M 14.4K 7.6K
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
High or Think Low ... Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm ... #Low #Abdomen # ... Hypovolemic #Distributive
FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - ... POCUS evaluation ... FALLS-protocol is ... classification ... #Shock #Algorithm
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 ... High or Think Low ... Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... and Symptoms by Classification ... depletion) - Distributive ... obstruction to blood flow ... #Differential #
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
Shock Classification ... and Differential ... Lactate > 1.5 Distributive ... #Classification ... #Differential #
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... Diagnosis by Classification ... Intractable vomiting Distributive ... obstruction to blood flow ... #Differential #
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Shock Classification ... Distributive Shock ... : β€’ Distributive ... characterized by low ... criticalcare #diagnosis #classification
Shock Types and Classification
DISTRIBUTIVE 66%
 β€’ Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 β€’ Warm
Shock Types and ... Classification ... DISTRIBUTIVE 66% ... Cold and Dry #Shock ... #diagnosis #differential
Causes, classification and compensatory responses to shock.

Shock can be caused by any pathological process that leads
Causes, classification ... as distributive ... vasodilatation produces distributive ... #Differential # ... Causes #Types #Classification
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... 1.5 High CO / Low ... SVR: β€’ Distributive ... #Differential # ... #criticalcare #algorithm