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* Resuscitation should be initiated while investigation of the cause is ongoing. | * Resuscitation should be initiated while investigation of the cause is ongoing. Correct the cause of shock immediately once it is identified. | ||
==Don'ts== | ==Don'ts== |
Revision as of 22:15, 7 April 2014
Shock Resident Survival Guide Microchapters |
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Overview |
Causes |
FIRE |
Diagnosis |
Treatment |
Do's |
Don'ts |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Zaghw, MBChB. [2]
Synonyms and keywords: Circulatory shock
Overview
Shock is the syndrome of circulatory failure that results in inadequate cellular oxygen utilization. The diagnosis of shock is based on clinical signs and biochemical abnormalities indicative of tissue hypoperfusion.[1]
Causes
Life Threatening Causes
Shock is a life-threatening condition and must be treated as such irrespective of the underlying cause.
Common Causes
- Cardiogenic shock
- Arrhythmic
- Mechanical
- Myocardial
- Pharmacologic
- Obstructive shock
- Decreased cardiac compliance
- Decreased ventricular preload
- Increased ventricular afterload
- Hypovolemic shock
- Fluid depletion
- Hemorrhage
- Distributive shock
- Sepsis
- Toxic shock syndrome
- Anaphylactic or anaphylactoid reaction
- Neurogenic shock
- Endocrinologic
Click here for the complete list of causes.
FIRE: Focused Initial Rapid Evaluation
A Focused Initial Rapid Evaluation (FIRE) as shown below should be performed to identify patients in need of immediate intervention.
Boxes in red signify that an urgent management is needed.
Complete Diagnostic Approach
Treatment
Do's
- Resuscitation should be initiated while investigation of the cause is ongoing. Correct the cause of shock immediately once it is identified.
Don'ts
References