Cognitive Aids

EASy bedside cards

Phenotype recognition and phenotype-based resuscitation on one set of cards — built to live at the bedside and on your ultrasound machines. Five double-sided cards: the clinical aid on the front, the reference and evidence on the back.

Download the PDF

All EASy cards are free to download, print and laminate. A free account is required for downloadable resources so we can measure their educational use — see how download activity is recorded.

Recognize the phenotype

The 4 hemodynamic clusters

EASy phenotype recognition — Clusters 1–3 — Clusters 1–3Hypovolemic / distributive / LVH, pump failure, and isolated RV (phenotypes 1–7)

EASy phenotype recognition — Cluster 4 — Cluster 4Less common obstructive causes: tamponade, valve disease, tension/auto-PEEP (phenotypes 8–10)

Manage by phenotype

Resuscitation algorithms

EASy management algorithm — Cluster-based resuscitation — Cluster-based resuscitationIVF challenge, vasopressor/inotrope choices, and when PPV is reliable — by cluster

EASy management algorithm — Septic shock in the OR — Septic shock in the ORPhenotype 1 progressing to phenotypes 2 & 4

EASy management algorithm — Phenotype 7 — Phenotype 7Septic shock with pre-existing pulmonary hypertension / ARDS

EASy management algorithm — Phenotype 8 — Phenotype 8Pericardial tamponade & large pleural effusion

Download the full PDF Upload a subcostal clip

Image acquisition cards — one per view

View each acquisition card online with no account. A free account is required for downloadable EASy resources. Each card carries the probe position, machine setup, the acquisition steps, what confirms the view before you record, and the pitfalls — taken step-for-step from the methods paper. Print at Letter landscape, trim and laminate for the machine.

1Subcostal 4-Chamber 2Subcostal IVC 3Right Upper Lung 4Left Upper Lung 5Right Pleural 6Left Pleural

Open all six acquisition cards

The original EASy hemodynamic phenotype graphics, phenotype-driven therapeutic management algorithms, EASy-ALS materials, and Subcostal 4-Chamber and IVC Methodologies are © 2019 Nibras Bughrara. Registered with the United States Copyright Office, Registration No. VAu 1-391-615. All rights reserved.

Permissions and registered works

For educational use. Based on Bughrara N, Diaz-Gomez JL, Pustavoitau A. Perioperative Management of Patients With Sepsis and Septic Shock, Part II: Ultrasound Support for Resuscitation. Anesthesiol Clin. 2020;38(1):123–134.