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Cardiogenic Shock

Approach to cardiogenic shock complicating acute myocardial infarction
Case Study

Mazen Kherallah

March 28, 2023

1

Takotsubo Cardiomyopathy

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.

Mazen Kherallah

March 28, 2023

0

Brain Death Protocol

Rational for the protocol
The evidence?
ICU Protocol!

Mazen Kherallah

March 13, 2023

3

Ancillary Testing in Brain Death Diagnosis

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

Mazen Kherallah

March 13, 2023

0

Management of Fluid & Electrolytes in Brain Death

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

Mazen Kherallah

March 13, 2023

0

Pathophysiology of Brain Death

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

Mazen Kherallah

March 13, 2023

0

Shock Syndromes: Clinical Approach

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

Mazen Kherallah

March 28, 2023

0

Arrythmias in the ICU Setting

Atrial fibrillation/flutter and SVT
AV block
Torsade de Point

Mazen Kherallah

March 17, 2023

2

Respiratory Management of Brain Death Donors

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

Mazen Kherallah

March 13, 2023

0

Infectious Disease Risk Assessment

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

Mazen Kherallah

March 13, 2023

0

Pitfalls in the Diagnosis of Brain Death

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

Mazen Kherallah

March 13, 2023

0

Organ Dysfunction in Brain Death

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

Mazen Kherallah

March 13, 2023

0