SHOCK

Shock Definition: Inadequate oxygen delivery to meet metabolic demands Stabilization Steps A: Airway B: Breathing C: Circulation D: Disability (Glasgow Coma Scale), Dextrose check History and Physical Exam Types of Shock 1. Cardiogenic Shock May have history of congenital heart disease Cool extremities with poor perfusion May have abnormal cardiac exam May show signs of heart failure Causes: Congenital Heart Disease Acquired Heart Disease (e.g., Kawasaki Disease with infarction, cardiomyopathy, myocarditis) Arrhythmia 2. Distributive Shock Often warm extremities with poor perfusion May have bounding pulses Causes: Sepsis Anaphylaxis Burns Neurogenic Shock (e.g., Trauma) 3. Obstructive Shock Cool extremities with poor perfusion May have normal or abnormal breath sounds May have pulsus paradoxus Causes: Pulmonary Embolism Tension Pneumothorax Cardiac Tamponade 4. Hypovolemic Shock Usually history of blood/fluid loss Cool extremities with poor perfusion Causes: Dehydration Vomiting Diarrhea Bleed/Trauma Notes: Indicates Key Condition These are potentially acutely life-threatening presentations Refer to corresponding clinical approaches for treatment This is not an exhaustive list of medical conditions