Shock
Shock is a life-threatening imbalance between tissue oxygen demand and supply.
Shock is a life-threatening imbalance between tissue oxygen demand and supply.
'Shock... Do We Know It When We See It?' was a talk by Michelle Johnston at SMACC2013 - you can listen to the audio here and check out the background material and references. Enjoy!
IABP one of your patients had poor cardiac output after a CABGx4 and required the insertion of an intra-aortic balloon pump, what do you do?
GENERAL APPROACH Find the shock (is it PROVED?) Pump, rate/ rhythm = Cardiogenic – myocardial, valves, rhythm, pericardium, left and right sided (signs: cool peripherally, shut down, bounding pulse, narrow pulse pressure, inotropes, high CVP, low SvO2, low Q, crackles…
A modified rapid sequence intubation (RSI) approach is usually preferred in hypotensive, shocked patients
the case. 46 year old male is bought into your resuscitation bay by local ambulance following a three metre fall from a work platform onto a horizontal metal railing below.
Below is the main content discussed at an ultrasound workshop I ran this week at the Sydney HEMS Clinical Governance Day.
A 59 year old male undergoes an elective radical prostatectomy. He is previously well, however takes some ‘herbal Chinese medicines’ that he stopped 2 weeks prior to surgery