TY - CHAP M1 - Book, Section TI - Approach to Shock A1 - Nicks, Bret A. A1 - Gaillard, John A2 - Tintinalli, Judith E. A2 - Stapczynski, J. Stephan A2 - Ma, O. John A2 - Yealy, Donald M. A2 - Meckler, Garth D. A2 - Cline, David M. PY - 2016 T2 - Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8e AB - The exact number of cases of shock that present to the ED in the United States is difficult to ascertain due to the insensitivity of clinical parameters, current definitions, and lack of a central database repository. Previous estimates propose that more than 1 million cases of shock are seen in the ED each year in the United States.1 These estimates are largely based on the assumption that hypotension, defined as a systolic blood pressure <90 mm Hg, is consistent with shock in adults. Using this definition, the incidence of patients with hypotension that present to American EDs is approximately 5.6 million cases per year.2 SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accessmedicine.mhmedical.com/content.aspx?aid=1142381844 ER -