REBEL Core Cast 115.0 – Cardiogenic Shock
REBEL Cast
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Navigating Cardiogenic Shock and Atrial Fibrillation
This chapter explores the challenges of managing patients with cardiogenic shock, particularly in the context of chronic atrial fibrillation. It emphasizes the importance of careful medication management and interdepartmental collaboration to enhance patient outcomes in emergency situations.
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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 ... 
