Fluid Resuscitation Shock Ultrasounds 
RebelEM
FEBRUARY 24, 2025
13 That is to say nothing of the effect that the type and response to shock has on the individual patients involved in these studies. Simply put, a difference greater than or equal to 12% between the largest and smallest pulse pressure can predict fluid responsiveness. Ultrasound Med Biol. May 2014; PMID: 24495437.
Dr. Smith's ECG Blog
OCTOBER 26, 2010
ACS and STEMI generally do not cause tachycardia unless there is cardiogenic shock. Then ACS (STEMI) might be primary; this might be cardiogenic shock. One very useful adjunct is ultrasound: Echo of his heart can distinguish aneurysm from acute MI by presence of diastolic dyskinesis, but it cannot distinguish demand ischemia from ACS.
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EB Medicine
OCTOBER 1, 2018
This month, we’ll be talking Updates and Controversies in the Early Management of Sepsis and Septic Shock. And sepsis-3 redefined septic shock as “hypotension not responsive to fluid resuscitation” with the added requirement of vasopressors to maintain a MAP greater than or equal to 65 and with a lactate > 2.
Critical Care Now
APRIL 26, 2022
His main areas of interest are Critical Care, Ultrasound, Prehospital Resuscitation, and Medical Education. A reduced supply of cortisol will decrease vascular tone, causing systemic vasodilation, shock, and hemodynamic collapse.
Northwestern EM Blog
FEBRUARY 14, 2022
The ATHOS-3 trial in 2017 explored the efficacy of angiotensin II as a vasopressor for severe vasodilatory shock. Severe shock is defined as persistent hypotension requiring vasopressors to maintain a mean arterial pressure of 65mmHg and serum lactate <2 despite adequate volume resuscitation. were more likely to respond.
Dr. Smith's ECG Blog
NOVEMBER 19, 2016
Smith comment: This patient did not have a bedside ultrasound. Had one been done, it would have shown a feature that is apparent on this ultrasound (however, this patient's LV function would not be as good as in this clip): This is recorded with the LV on the right. In fact, bedside ultrasound might even find severe aortic stenosis.
Taming the SRU
MAY 5, 2023
Early Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension. doi:10.1056/NEJMoa2212663 BACKGROUND Sepsis, including severe sepsis and septic shock, is a frequently encountered condition in the emergency department and carries a high mortality rate. N Engl J Med. 2023;388(6):499-510. 2021, Jarczak, Kluge et al.
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