Emergency Medicine Board Bombs 245. Shock Types in 15 minutes
Jan 6, 2025
Kick off the year with a rundown of the four major types of shock in emergency medicine! Enjoy a humorous case study featuring a retired competitive hot dog eater that highlights symptoms and the critical need for accurate diagnosis. Delve into the distinctions between hypovolemic, cardiogenic, distributive, and obstructive shock, emphasizing their unique clinical presentations. Learn how to utilize ultrasound and physical exam signs to effectively assess and manage patients in shock. Get ready to enhance your board exam skills!
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Shock Patient Assessment
- Assess a shock patient's circulation by checking capillary refill, skin temperature, and color.
- Look for conjunctival pallor as a quick hemoglobin check and cyanosis in the extremities.
Skin Exam in Shock
- Warm, flushed extremities suggest distributive shock.
- Cold, clammy extremities indicate cardiogenic or hypovolemic shock.
Neck Veins in Shock
- Check neck veins for distension, which may suggest cardiogenic or obstructive shock, though this can be difficult.
- Flat neck veins point towards hypovolemic shock.