Cardiogenic Shock

Action

Patient presents with signs and symptoms of shock.

• Obtain vital signs
• Perform history and physical examination
• Perform ultrasound of heart and lungs (Class I)

Decision

Assessment concerning for acute heart failure or cardiogenic shock?

Yes

What is the MAP?

Background

Risk factors include a history of:

• Congestive heart failure
• Coronary artery disease
• Cardiac surgery
• Presence of an implantable cardioverter defibrillator (ICD)
• Pregnancy
• Recent viral illness

Exam findings include:

• Peripheral edema
• Elevated jugular venous pressure
• Hepatomegaly
• Rales on auscultation of the lungs.

• Cool extremities
• Delayed capillary refill
• Narrow pulse pressure
• Altered mental status

Cardiogenic Shock Causes

• Myocardial pathology
• Tachyarrhythmia
• Bradyarrhythmia
• Valvular pathology
• Hypothermia
• Toxidromes

Want more?

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

www.ebmedicine.net

Full Cardiogenic Shock Pathway

What is the MAP?