“REBEL Core Cast 115.0 – Cardiogenic Shock” From REBELEM

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

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/.
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