Cardiogenic shock
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Cardiogenic shock
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About this listen
This month James and David look at cardiogenic shock: recognition and classification, oxygen targets, fluid resuscitation, vasopressors, inotropes, and the possibility of shock centres in the future. They're joined by Professor Dion Stub, an interventional cardiologist, prolific researcher, professor at Monash University, member of the Australian Resuscitation Council, and medical advisor to Ambulance Victoria.
Further resources
Avoid trial: https://www.ahajournals.org/doi/10.1161/circulationaha.114.014494
DETO2XAMI: https://www.nejm.org/doi/full/10.1056/NEJMoa1706222#:~:text=The%20Determination%20of%20the%20Role,not%20have%20hypoxemia%20at%20baseline.
EXACT pilot trial: Concerns regarding the safety of prehospital titrated oxygen in post-cardiac arrest patients https://pubmed.ncbi.nlm.nih.gov/29684433/
PANDA Trial (AV Staff) https://ambulancevic.sharepoint.com/sites/OneAVQualityandClinicalInnovation/SitePages/PANDA-TRIAL-(.aspx
Get in touch
clinicalguidelines@ambulance.vic.gov.au
Socials
David: @expensivecare | @expensivecare.bsky.social | LinkedIn
James: https://linktr.ee/ClinicalConversations