Circulatory shock in adults in emergency department
Circulatory shock is a common condition that carries high morbidity and mortality. This review aims to update the critical steps in managing common types of shock in adult patients admitted to medical emergency and intensive care units. A literature review was performed by searching PubMed, EMBASE O...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-07-01
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| Series: | Turkish Journal of Emergency Medicine |
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| Online Access: | https://journals.lww.com/10.4103/2452-2473.367400 |
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| author | Ashok Kumar Pannu |
| author_facet | Ashok Kumar Pannu |
| author_sort | Ashok Kumar Pannu |
| collection | DOAJ |
| description | Circulatory shock is a common condition that carries high morbidity and mortality. This review aims to update the critical steps in managing common types of shock in adult patients admitted to medical emergency and intensive care units. A literature review was performed by searching PubMed, EMBASE Ovid, and Cochrane Library, using the following search items: (“shock” OR “circulatory shock” OR “septic shock” OR “cardiogenic shock”) AND (“management” OR “treatment” OR “resuscitation”). The review emphasizes prompt shock identification with tissue hypoperfusion, knowledge of the underlying pathophysiological mechanism, initial fluid resuscitation with balanced crystalloids, norepinephrine as the preferred vasopressor in septic and profound cardiogenic shock, and tailored intervention addressing specific etiologies. Point-of-care ultrasound may help evaluate an undifferentiated shock and determine fluid responsiveness. The approach to septic shock is improving; however, confirmatory studies are required for many existing (e.g., amount of initial fluids and steroids) and emerging (e.g., angiotensin II) therapies. Knowledge gaps and wide variations persist in managing cardiogenic shock that needs urgent addressing to improve outcomes. |
| format | Article |
| id | doaj-art-2cffe2f97aba43e49e58a284e140a68e |
| institution | Kabale University |
| issn | 2452-2473 |
| language | English |
| publishDate | 2023-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Turkish Journal of Emergency Medicine |
| spelling | doaj-art-2cffe2f97aba43e49e58a284e140a68e2025-02-09T08:56:44ZengWolters Kluwer Medknow PublicationsTurkish Journal of Emergency Medicine2452-24732023-07-0123313914810.4103/2452-2473.367400Circulatory shock in adults in emergency departmentAshok Kumar PannuCirculatory shock is a common condition that carries high morbidity and mortality. This review aims to update the critical steps in managing common types of shock in adult patients admitted to medical emergency and intensive care units. A literature review was performed by searching PubMed, EMBASE Ovid, and Cochrane Library, using the following search items: (“shock” OR “circulatory shock” OR “septic shock” OR “cardiogenic shock”) AND (“management” OR “treatment” OR “resuscitation”). The review emphasizes prompt shock identification with tissue hypoperfusion, knowledge of the underlying pathophysiological mechanism, initial fluid resuscitation with balanced crystalloids, norepinephrine as the preferred vasopressor in septic and profound cardiogenic shock, and tailored intervention addressing specific etiologies. Point-of-care ultrasound may help evaluate an undifferentiated shock and determine fluid responsiveness. The approach to septic shock is improving; however, confirmatory studies are required for many existing (e.g., amount of initial fluids and steroids) and emerging (e.g., angiotensin II) therapies. Knowledge gaps and wide variations persist in managing cardiogenic shock that needs urgent addressing to improve outcomes.https://journals.lww.com/10.4103/2452-2473.367400adultsanaphylacticcardiogeniccirculatorymanagementpoint-of-care ultrasoundresuscitationsepticshockvasopressor |
| spellingShingle | Ashok Kumar Pannu Circulatory shock in adults in emergency department Turkish Journal of Emergency Medicine adults anaphylactic cardiogenic circulatory management point-of-care ultrasound resuscitation septic shock vasopressor |
| title | Circulatory shock in adults in emergency department |
| title_full | Circulatory shock in adults in emergency department |
| title_fullStr | Circulatory shock in adults in emergency department |
| title_full_unstemmed | Circulatory shock in adults in emergency department |
| title_short | Circulatory shock in adults in emergency department |
| title_sort | circulatory shock in adults in emergency department |
| topic | adults anaphylactic cardiogenic circulatory management point-of-care ultrasound resuscitation septic shock vasopressor |
| url | https://journals.lww.com/10.4103/2452-2473.367400 |
| work_keys_str_mv | AT ashokkumarpannu circulatoryshockinadultsinemergencydepartment |