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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 (free)

Free to print and laminate for your own ultrasound machines — no sign-up.

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

© Dr. Nibras Bughrara. All rights reserved.

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.