• Emerg. Med. Clin. North Am. · Nov 2014

    Review

    Shock.

    • David A Wacker and Michael E Winters.
    • Emergency Medicine/Internal Medicine/Critical Care Program, University of Maryland Medical Center, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA.
    • Emerg. Med. Clin. North Am. 2014 Nov 1; 32 (4): 747-58.

    AbstractCritically ill patients with undifferentiated shock are complex and challenging cases in the ED. A systematic approach to assessment and management is essential to prevent unnecessary morbidity and mortality. The simplified, systematic approach described in this article focuses on determining the presence of problems with cardiac function (the pump), intravascular volume (the tank), or systemic vascular resistance (the pipes). With this approach, the emergency physician can detect life-threatening conditions and implement time-sensitive therapy. Copyright © 2014 Elsevier Inc. All rights reserved.

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