Episode 14: The Cardiogenic Shock Podcast with Dr. Anand Swaminathan Ft: Dr. Martin Amor
Here are 5 takeaways of the Cardiogenic Shock Podcast:
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: VTI Calculation on Echo - https://www.youtube.com/watch?v=ir5EusiBXhk