a.k.a. Hemodynamic instability

Def. Tissue hypo-perfusion

Assessment:

• A: airway, c-spine
• B: resp rate, O2 sat
• C: palse, BP
• D: bleeding, pain, reduced LOC
• E: skin, limb, drain, line
• F: fluid resuscitation
• GH: consult appropriate department

Presentation:

• Low BP + High HR
  • SI - Shock Index
    • age + SI > 50 in older adult
  • !Hypovolemia ↓
    • Hypotension
      • sBP < 90 - soft Hypotension
      • sBP < 110 - Hypotension in Older Adult > 65 (RF)
    • ↑ Tachycardia (>150) (> 30)
      • HR > 90 in Older Adult > 65 (RF)
    • Cynosis/abnormally red
• !Syncope, Light-headed

DDx

!Cardiogenic Shock (HF C+W)

!Hypovolemia ↓ Shock