Emerg. Med. Practice
September 1, 2022
Kamal Medlej, MD; Ivana Nikolic, MD
Patient presents with signs and symptoms of shock.
- Obtain vital signs
- Perform history and physical examination
- Perform ultrasound of heart and lungs (Class I)
Assessment concerning for acute heart failure or cardiogenic shock?
Investigate for alternative causes of shock
(hypovolemic, distributive, extra-cardiac / obstructive)
Risk factors include a history of:
- Congestive heart failure
- Coronary artery disease
- Cardiac surgery
- Presence of an implantable cardioverter defibrillator (ICD)
- Recent viral illness
Exam findings include:
Congestive heart failure
- Peripheral edema
- Elevated jugular venous pressure
- Rales on auscultation of the lungs.
- Cool extremities
- Delayed capillary refill
- Narrow pulse pressure
- Altered mental status
Cardiogenic Shock Causes
- Myocardial pathology
- Valvular pathology
Get the full article 👇
Advances in Cardiac Resuscitation in the Emergency Department | EB Medicine
About This Issue Case Presentations Introduction Critical Appraisal of the Literature Etiology and Pathophysiology Circulatory Failure in Patients With Left Ventricular Assist Devices Differential Diagnosis Prehospital Care Prehospital Management of Patients With Left Ventricular Assist Devices Emergency Department Evaluation History History for Patients With Left Ventricular Assist Devices Physical Examination
Full Cardiogenic Shock Pathway
What is the MAP?