Shock: Assessment and Management of the Patient in Shock: From Tissue Alterations to Resuscitation – Dr. Paul Langlois

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Your patient’s lives depend on your ability to assess and act.  There is little room for error.

Treatment protocols in Managing Shock change frequently and this seminar will teach you the latest up to the minute evidence based strategies in treatment of shock.  You will learn how to rapidly assess, recognize and treat all types of shock and be able to use this in your clinical practice every day. 

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OUTLINE

Immediate Life-Saving Strategies

A-B-C-D

• Airway patent
• Breathing
  • High fraction of inspired oxygen
  • Mechanical Ventilation
• Circulation
  • Central venous and arterial access
  • Oxygen delivery
  • Oxygen consumption
  • Oxygen extraction ratio
• Differential diagnosis
  • History
  • Physical exam
  • Laboratory data

Parameters to continuously monitor in all patients with shock

• Arterial blood gas versus oximetry and capnography
• Mixed venous blood gas
• Lactate and Lactic acid
• Cardiac output versus cardiac index
• Central venous pressure versus global end diastolic index
• Spinal cord dysfunction
• Signs and symptoms
• Treatment

Assessment and Treatment of Shock States

• Cardiogenic
• Hypovolemic
• Septic
• Neurogenic
• Obstructive

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OBJECTIVES

• Recognize the cellular alterations that occur during shock
• Discriminate how cardiac output differs among the five shock states
• Determine three causes of cardiogenic shock
• Contrast the fluids used in resuscitation of the patient in hypovolemic shock
• Apply the resuscitation guidelines for septic shock

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