MEDizzy
MEDizzy
L
Leonoraover 5 years ago
ICU patient diagnosis

ICU patient diagnosis

What are the possible causes of these vital signs?

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over 5 years ago

Hypovolemic shock

over 5 years ago

They are almost the same, i can see that. But I also see some cardiac output. So as i mentioned before a possible cause would be a cardiogenic shock where a minimal pressure is assisted by some kind of external support like V-A ECMO/ ECLS (thats how it is called in German ICUs). ECG with Broad QRS would underline cardiac genesis.

over 5 years ago

Thanks for sharing this case! I find also it fascinating when the ECMO is being used for ARDS. You can literally see the blood turning light red and getting oxygenated.

over 5 years ago

Ah you're German 😊 I'm in France (Paris) as you might have seen. Yes this patient was on ECMO after an aortic dissection due to Marfan's syndrome put this patient in Hemorrhagic + Cardiogenic shock. I always find it amazing when the patient's heart stops beating and they are left with a median pressure thanks to the ECMO. This was almost the case. Unfortunately the patient passed away later that day.

almost 5 years ago

Any type of shock even septic shock

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