Approach to cardiogenic shock complicating acute myocardial infarction
Case Study

Reversible left ventricular apical and mid-wall motion abnormalities seen on echocardiography that do not follow the anatomical distribution of normal blood supply of the ventricle.

Rational for the protocol
The evidence?
ICU Protocol!

EEG, CT angiography (CTA), Cerebral Scintigraphy (Nuclear Brain scanning), and
Transcranial Doppler (TCD).

Effect of hypernatremia on graft function - Diagnosis of diabetes insipidus - Differential diagnosis of hypernatremia - Management of diabetes insipidus

Increased intracranial pressure and brain herniation
Gross and micro pathology of brain herniation
Autonomic storm and hormonal abnormality

Clinical and pathophysiological approach to different types of shocks including cardiogenic, obstructive, hypovolemic, and distributive shocks.

Atrial fibrillation/flutter and SVT
AV block
Torsade de Point

Assess the appropriate lung donor - Recruitment maneuvers after apnea test - Protective lung strategy - Management of neurogenic pulmonary edema

Risk levels for potential organ donors
Bacterial Infections
What should we know prior to transplant?

Mimics of brain death - Motor movements - Pupillary and eye movement examination - False positive respiratory efforts - Abnormal CO2 response

Autonomic (sympathetic) storm
Loss of sympathetic tone
Disruption of pituitary axis