Take Home Points:

Know clinical (cold extremities, oliguria, confusion, dizziness, narrow pulse pressure) and laboratory markers (metabolic acidosis, elevated creatinine, lactic acidosis) of hypoperfusion.

An elevated lactate is a danger sign and requires explanation.

Norepinephrine is a great first line vasopressor in Cardiogenic shock.

Dobutamine is useful for inotropic support in Cardiogenic shock.

Use POCUS in ED. In addition to echo and VTI for cardiac output, use IVC assessment for central venous pressure/volume status.

Click here for Direct Download of the Podcast

Links

Staten Island EM: Only in Staten Podcast

Links: VTI Calculation on Echo: https://www.youtube.com/watch?v=ir5EusiBXhk

Post Created By: Anand Swaminathan MD, MPH

Post Peer Reviewed By: Salim Rezaie MD (Twitter @SRRezaie)

The post REBEL Core Cast 115.0 – Cardiogenic Shock appeared first on REBEL EM - Emergency Medicine Blog.