RT Book, Section
A1 Doerschug, Kevin C.
A1 Schmidt, Gregory A.
A2 Oropello, John M.
A2 Pastores, Stephen M.
A2 Kvetan, Vladimir
SR Print(0)
ID 1136413997
T1 Shock: Diagnosis and Management
T2 Critical Care
YR 1
FD 1
PB McGraw-Hill Education
PP New York, NY
SN 9780071820813
LK accessmedicine.mhmedical.com/content.aspx?aid=1136413997
RD 2024/04/23
AB KEY  POINTSShock  is  acute  circulatory  failure  threatening  multiple  organ  systems  and  demands  prompt  diagnosis  and  urgent  resuscitation.The  main  types  of  shock  are  hypovolemic,  cardiogenic,  and  distributive  shock.Shock  must  be  managed  rapidly  by  identifying  and  treating  acute,  reversible  causes;  restoring  intravascular  volume;  infusing  vasoactive  drugs;  using  mechanical  adjuncts,  when  applicable;  and  supporting  vital  functions  until  recovery.Bedside  goal-directed  echocardiography  should  be  performed  to  clarify  or  confirm  the  etiology  of  shock;  identify  readily  treatable  contributors  (such  as  tension  pneumothorax  or  cardiac  tamponade);  and  seek  clues  to  fluid  responsiveness.A  comprehensive  assessment  of  the  adequacy  of  perfusion  is  useful  to  guide  resuscitation,  rather  than  merely  aiming  for  an  arbitrary  mean  arterial  pressure.