SHOCK

Important points

 

Clinical features

Hypotension is a LATE sign

(Hypotension occurs once all physiological mechanisms are exhausted = decompensated shock)

The initial signs may include one of the following:

Resuscitation

Airway - protect if comatose

Breathing - high flow oxygen 15L/min by non-rebreather mask, controlled ventilation if inadequate respiratory effort or refractory hypoxaemia

CIRCULATORY MANAGEMENT

  1. FLUIDS

Indications

Relative Contraindications

Procedure

  1. PRESSOR SUPPORT

    Indications

Procedure

  1. INOTROPIC SUPPORT

Indications

Procedure

DEFINITIVE MANAGEMENT

TREAT CAUSE