Sandbox/00005
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Identifying the Cause
Shock | |||||||||||||||||
History of trauma? | YES, then consider
❑ Cardiac injury ❑ Cardiac tamponade ❑ Hemorrhagic shock ❑ Tension pneumothorax | ||||||||||||||||
| NO | |||||||||||||||||
Evidence of gastrointestinal hemorrhage, vomiting, diarrhea? | YES, then consider and manage as hypovolemic shock | ||||||||||||||||
| NO | |||||||||||||||||
Fever or hypothermia? | YES, then consider and manage as septic shock | ||||||||||||||||
| NO | |||||||||||||||||
Ischemic findings on ECG and/or chest pain with coronary risk factors? | YES, then consider and manage as cardiogenic shock | ||||||||||||||||
| NO | |||||||||||||||||
Unexplained bradycardia? | YES, then consider
❑ Ingestion of negative inotropic agents ❑ Hypothyroidism ❑ Steroid withdrawal ❑ Adrenal crisis | ||||||||||||||||
| NO | |||||||||||||||||
Unexplained hypoxemia? | YES, then consider acute pulmonary embolism | ||||||||||||||||
| NO | |||||||||||||||||
Abdominal or low back pain? | YES, then consider abdominal processes and surgical consultation | ||||||||||||||||
| NO | |||||||||||||||||
Wheezing with hives or skin flushing? | YES, then consider abdominal processes and surgical consultation | ||||||||||||||||
| Proceed to complete diagnostic approach below | |||||||||||||||||