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Tank. Clogged Pipes. Broken Pipes. Pump.

Introduction

  • “Tank”
    • Hypovolemic shock
    • Hemorrhagic shock
  • “Clogged Pipes”
    • Cardiac tamponade
    • Tension pneumothorax
    • Pulmonary embolism
  • “Broken Pipes”
    • Septic Shock
    • Neurogenic Shock
    • Anaphylactic Shock
  • “Pump”
    • Cardiogenic Shock

Step 1: Fill the Tank

  • Establish an IV
    • IO line alternative in emergent situations

Step 2: Consider Clogs

  • Cardiac tamponade
    • Diagnosis: Ultrasound
    • Treatment: Pericardiocentesis
  • Tension pneumothorax
    • Diagnosis: Clinical/Xray/Ultrasound
    • Treatment: Needle decompression and tube thoracostomy
  • Pulmonary embolism
    • Diagnosis: Clinical/CTA
    • Treatment: Thrombolytics

Step 3: Squeeze the Pipes

  • Administer vasopressors
    • Most common: Norepinephrine
    • Alternatives: Epinephrine, Phenylepherine

Step 4: Analyze the Pump

  • Get an EKG
    • Ischemia = Aspirin/Heparin/Cath lab
    • Dysrhythmia = Electricity

Additional Reading