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Trauma & Emergency Surgery

Shock and Its Management

Shock taught as a reasoning problem rather than a list: start from systemic vascular resistance and cardiac output, work out which type of shock the patient is in, and let that drive resuscitation. Built around real case scenarios.

What this lecture covers

  • What shock is, physiologically
  • An approach to shock: assessing systemic vascular resistance
  • High versus low resistance and what each implies
  • The factors of cardiac output: rate and stroke volume
  • Heart rate problems and low stroke volume
  • Types of shock and how to tell them apart
  • Case scenarios worked through to a decision
  • Resuscitation and monitoring the response
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