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REBEL Core Cast 115.0 – Cardiogenic Shock
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.
REBEL Core Cast 115.0 – Cardiogenic Shock
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.
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By Salim R. Rezaie, MD
4.8
160160 ratings
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.
REBEL Core Cast 115.0 – Cardiogenic Shock
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.
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