Shock

Critically ill patients with undifferentiated shock are complex and challenging cases in the ED. A systematic approach to assessment and management is essential to prevent unnecessary morbidity and mortality. The simplified, systematic approach described in this article focuses on determining the pr...

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Bibliographic Details
Published inEmergency medicine clinics of North America Vol. 32; no. 4; p. 747
Main Authors Wacker, David A, Winters, Michael E
Format Journal Article
LanguageEnglish
Published United States 01.11.2014
Subjects
Blood Circulation - physiology
Cardiac Tamponade - diagnosis
Cardiac Tamponade - diagnostic imaging
Emergency Medical Services
Emergency Service, Hospital
Humans
Shock - diagnosis
Shock - etiology
Shock - physiopathology
Shock - therapy
Ultrasonography
Shock
Anaphylaxis
Hypovolemia
Cardiac tamponade
Massive pulmonary embolism
Tension pneumothorax
Acute myocardial infarction
Hemorrhage
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Summary:Critically ill patients with undifferentiated shock are complex and challenging cases in the ED. A systematic approach to assessment and management is essential to prevent unnecessary morbidity and mortality. The simplified, systematic approach described in this article focuses on determining the presence of problems with cardiac function (the pump), intravascular volume (the tank), or systemic vascular resistance (the pipes). With this approach, the emergency physician can detect life-threatening conditions and implement time-sensitive therapy.
ISSN:1558-0539
DOI:10.1016/j.emc.2014.07.003