All right, welcome back.

Here with Adam Thomas, we're going to talk about the approach to shock.

This one is the basic foundation of what we do.

This is what you really, really need to know when you're seeing those new consoles, the code blues, and all those patients in the trauma of it.

So Josh, today we'll talk about the diagnosis,

recognition, classification of shock and you've broke it down into the post into more of how we

sure say treatment specific categories. Is that fair to say? Yes, yeah. And then we'll talk about

working up those patients and how to stabilize them. It'll be a quick post, but again,

foundations of what we do. So Josh, how important is this to figure out the shock category? Is it

low? Is it high? Is it mixed? What's going on here? So I think the first thing to realize is,

you know, shock, it's basically the final common pathway before patients die. So if you eliminate

patients, you just have sudden cardiac death,

pretty much any form of death is going to progress to a phase of shock before the patient actually

dies. So it is incredibly important to, first of all, recognize that the patient is in shock.

And then once you've made that recognition, you absolutely have to figure out why they are in shock

because every single cause of shock is lethal. And if you

fail to diagnose it, that patient will succumb. So this is really like a smorgasborg

of death. Does that smorgasbord look the same? Are all shocking patients? Do they all look

terrible or do they come in different phenotypes? Yeah. So unfortunately, they can look extremely

different. And I think two kind of traditional

phenotypes, and these definitely exist, are, you know, your septic patient and your heart failure

patient. So your septic patient, this is your classic kind of toxic appearing patient. These

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