article thumbnail

Neurogenic Shock in Children

Pediatric EM Morsels

Physical exam findings of occult shock in children can be subtle. Fortunately, there are screening tools for occult shock. A (sorta) Quick Blurb about Spinal Shock If you, like me, have recently had to go back to review the difference between spinal and neurogenic shock , here is a quick refresher on the topic.

Shock 307
article thumbnail

ECG Blog #432 — "Should I Shock this Patient?"

Ken Grauer, MD

No shock was needed. But considering that patients have been shocked for tracings resembling the ECG shown in Figure-1 — it may be worthwhile to present another example. RED arrows in Figure-2 highlight the surprisingly regular occurrence of what appears to be vertical lines that suggest possible QRS complexes. Is there a pulse?

Shock 414
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Temporary mechanical circulatory support in infarct-related cardiogenic shock: an individual patient data meta-analysis of randomised trials with 6-month follow-up

EM Ottawa

doi: 10.1016/S0140-6736(24)01448-X Question and Methods: Does routine early use of mechanical circulatory support (MCS) reduce mortality in acute myocardial infarction cardiogenic shock (AMICS) compared to standard medical therapy? 2024 Sep 14;404(10457):1019-1028.

Shock 108
article thumbnail

OVISS: Optimal Vasopressin Initiation in Septic Shock with Reinforcement Learning

The Bottom Line

OVISS: Optimal Vasopressin Initiation in Septic Shock Kalimouttou et al. 2025.3046 Clinical Question In patients with septic shock, does a reinforcement learning model identify a strategy for vasopressin initiation that improves mortality? for the OVISS Study group, JAMA 2025. doi:10.1001/jama.2025.3046

Shock 70
article thumbnail

Anaphylactic Shock

RebelEM

Anaphylactic Shock is an acute, life-threatening hypersensitivity disorder, with a generalized, rapidly evolving, multi-systemic allergic reaction (IgE-mediated disorder). Anand Swaminathan, MD and I wrote the anaphylactic shock chapter and with Scott’s permission are publishing it here as FOAM.

Shock 145
article thumbnail

ECLS-Shock – Extracorporeal Life Support in Infarct-Related Cardiogenic Shock

The Bottom Line

Extracorporeal Life Support in Infarct-Related Cardiogenic Shock Thiele H. NEJM 2023; Online ahead of print.

Shock 117
article thumbnail

A Beginner’s Guide to Vasoactive Drug use in Children with Septic Shock

Don't Forget the Bubbles

What is Shock? Shock is defined as a type of circulatory failure where lack of oxygen leads to dysfunction of vital organs. There are many types of shock which may affect children, and management is specific to the type of shock. The overall goal in managing any cause of shock is to restore oxygen delivery to the organs.

Shock 143