Today, I review, link to and excerpt from from REBELEM‘s REBEL CAST, REBEL Core Cast 115.0 – Cardiogenic Shock*.
*Anand Swaminathan, “REBEL Core Cast 115.0 – Cardiogenic Shock”, REBEL EM blog, December 27, 2023. Available at: https://rebelem.com/rebel-core-cast-115-0-cardiogenic-shock/.
All that follows is from the above resource.
Click here for Direct Download of the Podcast
- Written by Anand Swaminathan
- REBEL Cast, REBEL Core
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 in ED. In addition to echo and VTI for cardiac output, use IVC assessment for central venous pressure/volume status.
Links
Staten Island EM: Only in Staten Podcast
Links: VTI Calculation on Echo: https://www.youtube.com/watch?
v=ir5EusiBXhk Post Created By: Anand Swaminathan MD, MPH
Post Peer Reviewed By: Salim Rezaie MD (Twitter @SRRezaie)
Cite this article as: Anand Swaminathan, “REBEL Core Cast 115.0 – Cardiogenic Shock”, REBEL EM blog, December 27, 2023. Available at: https://rebelem.com/rebel-core-cast-115-0-cardiogenic-shock/.
