Welcome to Emergency Medicine Cases.com. I'm your host, Dr. Anton Hellman, bringing you Canada's

brightest minds in emergency medicine from EMC Studios in Toronto.

To kick off the highlights of the Update in Emergency Medicine Conference from Whistler in February this year,

we have with us Dr. David Carr talking about shock.

Dr. David Carr is an assistant professor in the Department of Family and Community Medicine,

Division of Emergency Medicine at the University of Toronto.

He serves as the assistant professor of education, risk management, and faculty development

at the University Health Network.

In 2009, he was the recipient of both undergraduate and postgraduate clinical teaching awards,

and in 2010, he co-authored a chapter in Tintanelli's.

David is one of Canada's best public speakers in emergency medicine,

which really brought together all the main key elements in managing these patients

without getting too bogged down in detail.

So without further ado, here's Dr. Carr on shock.

So I was taught shock with a great mnemonic.

Why I like this mnemonic is I always loved the fact that anaphylactic started with a k. I always liked that it was a bit odd. So I went over this septic, spinal, hypovalemic, hemorrhagic, obstructive, cardiogenic, and that good mnemonic that you had to make fit. So that's how I was taught. And I've kind of tried to change my practice a little bit.

And what we're going to do is we're going to talk about shock today and we're going to talk

about how to survive sepsis. The first half of my talk is how to survive sepsis. Because I think that's more important than all the other stuff we do. We're going to review shock in the new millennium. So Dr. John Collins-Warn is a physician who worked in Vienna and at

Mass General General and he

said, shock, a momentary pause in the act of death. Wrong. We are not going to let that be shock.

It's a momentary pause in the act of life. We just have to make sure they get there.

So we're going to talk about a first

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