Dr. Gerald Diaz @GeraldMD
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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
, based on clinical ... Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm ... #Hypovolemic #Distributive ... #Shock
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 ... #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 ... , based on clinical ... Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
massive pericardial effusion ... Pulmonary embolism ... Tamponade: pericardial effusion ... Distributive Shock ... : β€’ Distributive
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Differential Diagnosis Algorithm ... valvulopathy β€’ Pulmonary ... obstruction β€’ Pulmonary ... hypertension Distributive ... Differential #Diagnosis #Algorithm
RUSH(ed) Exam - POCUS Protocol
Rapid Ultrasound in Shock and Hypotension
1. Parasternal Long Cardiac View
2. Apical Four-Chamber
) Exam - POCUS Protocol ... Ultrasound in Shock ... Pulmonary View ... Pulmonary View ... DVT depending on clinical
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... / Low SVR: β€’ Distributive ... β€’ Obstructive: Pulmonary ... Dehydration Shock ... #criticalcare #algorithm
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... failure, and death DISTRIBUTIVE ... Cold and Dry) β€’ Puimonary ... failure from massive pulmonary ... embolism or severe pulmonary
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... failure, and death DISTRIBUTIVE ... Cold and Dry) β€’ Pulmonary ... failure from massive pulmonary ... embolism or severe pulmonary
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... Management Checklist Evaluation ... function tests if shock ... edema - Large effusion ... nitroglycerine infusion