Approach to Undifferentiated Shock. #criticalCare #shock #hemodynamics #POCUS. Rapidly determining the etiology of shock is a core ICU skill, requiring integration of physiology, history, exam, and POCUS. This ICU OnePager provides a framework for thinking about shock that you can use to categorize it. Current version 1.0 (originally posted ...

For pediatric patients, see: undifferentiated shock. Check/manage the following in order: Too slow or too fast (to the point where CO is affected)? What is the LV end-diastolic volume? Is the myocardium severely depressed in its contractile function (cardiogenic shock)? Is forward flow occurring? SI = HR / SBP.

2024年11月13日 · "Undifferentiated shock" refers to the situation where shock is recognized, but the cause is unclear. While patients often have a combination of more than one form of shock (multifactorial shock), four classes of shock are recognized ( table 1 ):

2022年12月1日 · The effects of shock are initially reversible, but it rapidly becomes irreversible, resulting in multiorgan failure (MOF) and death. In this post the classification, etiologies and approach to diagnosis and initial stabilization of undifferentiated shock is reviewed.

2023年7月24日 · In a patient with undifferentiated shock, diagnostic clues to pericardial tamponade as the etiology include dyspnea, the Beck triad (elevated jugular venous pressure, muffled heart sounds, hypotension), pulses paradoxus, and known risk factors such as trauma, the recent history of pericardial effusion, and thoracic procedures.

2022年2月17日 · Shock is a state of acute cardiocirculatory failure resulting in end-organ hypoxia and dysfunction. Shock has many etiologies and is the final common pathway of death. Approach to undifferentiated shock requires simultaneous resuscitation and investigation. Recognize shock. No single clinical finding or investigation can rule in or rule out shock.

"Undifferentiated shock" refers to the situation where shock is recognized but the cause is unclear. Septic shock, a form of distributive shock, is the most common form of shock among patients admitted to the intensive care unit, followed by cardiogenic and hypovolemic shock; obstructive shock is rare [1,2].

2016年6月28日 · The undifferentiated shock state is a colloquialism which describes a haemodynamically unstable patient who is peri-arrest and you don't know why. The most important factor for the candidates to remember is the great value being placed on bedside ultrasonography, particularly on transthoracic echo.

2021年3月28日 · Use a systematic approach to “the pump,” “the tank,” and “the pipes” to determine classification of shock. Integrate the use of bedside ultrasound into resuscitation of patients with undifferentiated shock to help make the diagnosis and guide interventions.

2024年5月16日 · Shock is defined as a state of cellular and tissue hypoxia due to reduced oxygen delivery and/or increased oxygen consumption or inadequate oxygen utilization. This most commonly occurs when there is circulatory failure manifest …