Eduardo sanchez @TeamMuni
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Pgy 2 IM resident in Puerto Rico
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An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
#Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #High ... #Cardiogenic #Obstructive
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... • Most common type ... into valve ring OBSTRUCTIVE ... #management #cold ... warm #wet #dry #table
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
1) Determine type ... Pancreatitis • Obstructive ... inopressors #diagnosis #management ... #comparison #table
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... narrow-complex irregular protocol ... #Stable #WideComplex ... Tachycardia #Treatment #management ... #cardiology #algorithm
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... Stable patients ... Risk Stratify Type ... What is the type ... medical and surgical management