Approach to the patient with undifferentiated hypotension or shock: Initial approach

The shaded boxes indicate the points in the process at which no further action needs to be taken, a diagnosis has been made, or continued resuscitation is required.

ACLS: advanced cardiac life support; IV: intravascular; MI: myocardial infarction; PE: pulmonary embolus.

* The first priority is to stabilize the airway with oxygen and/or mechanical ventilation. Although most patients are intubated, not every patient requires mechanical ventilation (eg, those with a tension pneumothorax).

¶ Aggressive fluids and blood products may be required for those with hemorrhage. Fluids should not be administered if the etiology is thought to be due to cardiogenic shock.

Graphic 99357 Version 4.0

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Approach to the patient with undifferentiated hypotension or shock: Initial approach