EMCrit Podcast EMCrit 259 – Cardiogenic Shock — The Next Level & Mechanical Circulatory Support with Jenelle Badulak
12 snips
Nov 13, 2019 AI Snips
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Recognizing Cryptogenic Shock
- Cardiogenic shock can occur even if the patient is not hypotensive, termed cryptogenic cardiogenic shock.
- Identifying poor organ perfusion due to low cardiac output and elevated filling pressures is key to diagnosis.
Initial Cardiogenic Shock Management
- Start by assessing intravascular volume to avoid adding unnecessary fluids in cardiogenic shock.
- Begin with norepinephrine to maintain perfusion pressure, then add inotropes like dobutamine to improve cardiac output.
SCAI Cardiogenic Shock Classification
- The SCAI shock classification uses stages A through E to communicate severity and direct care.
- This system helps prioritize patients for escalation to mechanical circulatory support and appropriate transfer.