Naslov
Treatment of Shock in the Emergency Setting

Autori
Tze, Yi Low

Vrsta, podvrsta i kategorija rada
Ocjenski radovi, diplomski rad, diplomski

Fakultet
Medical Studies in English University of Zagreb School of Medicine

Mjesto
Zagreb

Datum
26.06

Godina
2012

Stranica
47

Mentor
Degoricija, Vesna

Ključne riječi
emergency; shock; hypoperfusion; hypovolemia; fluid resuscitation

Sažetak
Shock is a state of acute circulatory failure with inadequate or inappropriately distributed tissue perfusion resulting in generalized tissue hypoxia and/or inability of the cells to utilize oxygen. It is a medical emergency with high mortality that affects multiple organ systems. Regardless of etiology or severity, all forms of shock have the commonality of perfusion inadequate to meet metabolic demands at the cellular level. Decreased organ perfusion leads to tissue hypoxia, anaerobic metabolism, acid-base imbalance and eventually severe organ dysfunction. The ultimate consequence of such hypoperfusion is irreversible multiple organ failure, which inevitably leads to death. Shock is a multi factorial syndrome that can be broadly classified into cardiogenic, hypovolemic and distributive shock. Distributive shock can be further divided into neurogenic, anaphylactic and septic shock. The etiology of shock is diverse, therefore there is often overlap between the different types of shock and more than one type of shock can coexist. For these reasons, it is a great challenge to identify the state of shock as early as possible, access its severity and swiftly provide treatment to restore cellular perfusion before irreversible organ failure sets in. Evidently, early recognition and intervention in shock may help to improve the patient’s outcome. The main goals of treatment are to secure airway, maximize oxygen delivery and increase blood pressure via fluid resuscitation and the use of vasopressors. It is also important to treat the underlying cause while stabilizing the patient.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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