Critical Care Time 2. Undifferentiated Shock Part 2
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Jul 5, 2023 Podcast explores the Pump, Pipe & Tank framework for determining the type of shock. Discusses pathophysiology of different types of shock, tools for differentiation, and initial treatment considerations. Explores limitations of sound clues in determining shock distribution. Introduces concept of shock frameworks and their use in medicine. Explores distributive shock and its etiologies. Differentiates neurogenic shock and spinal shock. Discusses causes and hemodynamics of hypovolemic shock. Talks about ultrasound use in hypovolemic shock. Rounds up with podcast conclusion and sponsor acknowledgement.
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Pump, Pipe & Tank Framework Explained
- The Pump, Pipe & Tank framework categorizes shock into cardiogenic/obstructive, distributive, and hypovolemic types.
- This framework simplifies understanding and treatment by focusing on heart, vascular resistance, and preload problems respectively.
Assess Pump Function Thoroughly
- Use patient history and physical exam to assess pump function in shock, including skin, neck veins, and pulses.
- Combine clinical exam with ultrasound for a more accurate assessment and new diagnosis confirmation.
Use EKG and X-ray Early
- Always obtain an EKG and chest X-ray in suspected cardiogenic shock to detect arrhythmias and heart/lung pathology.
- These routine tests give valuable structural and functional information to guide treatment.