TdC 145: Caso Clínico de Choque

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Kaue traz um episódio de uma paciente com hipotensão e choque, enquanto Pedro e Lucas Menezes trazem uma abordagem organizada para lidar com essa situação! Quais os tipos de choque? O que excluir primeiro? Como usar os exames complementares a seu favor? Tudo isso nesse episódios

Vídeo do Youtube sobre protocolo Rush: https://youtu.be/k38Jc3t7u7s

Referências:
1. Hernández, Glenn, et al. "Effect of a resuscitation strategy targeting peripheral perfusion status vs serum lactate levels on 28-day mortality among patients with septic shock: the ANDROMEDA-SHOCK randomized clinical trial." Jama 321.7 (2019): 654-664.
2. Dumas, Guillaume, et al. "Mottling score is a strong predictor of 14-day mortality in septic patients whatever vasopressor doses and other tissue perfusion parameters." Critical Care 23.1 (2019): 1-9.
3. Jentzer, Jacob C., et al. "Defining shock and preshock for mortality risk stratification in cardiac intensive care unit patients." Circulation: Heart Failure 14.1 (2021): e007678.

4. Gaieski, David F., et al. "Evaluation of and initial approach to the adult patient with undifferentiated hypotension and shock." Waltham, MA: UpToDate (2019).

5. The RUSH Exam: Rapid Ultrasound for Shock and Hypotension, Scott D. Weingart, MD RDMS, Daniel Duque MD RDMS, Bret Nelson MD RDMS em https://emcrit.org/rush-exam/

6. Farkas J, Anawati. Bedside Ultrasonography Evaluation of Shock

7. Joseph MX, Disney PS, DaCosta R, et al. Transthoracic echocardiography to identify or exclude cardiac cause of shock. Chest 2004;126(5):1592–7.

8. Farkas J. Understanding lactate in sepsis & Using it to our advantage. July 5, 2015 
9. Jacobson ED. A physiologic approach to shock. N Engl J Med.1968;278(15):834-839