Distributive shock (maldistribution of blood flow)
Obstructive shock (extracardiac obstruction to blood flow)
– Endotracheal Intubation
– Adequate intravenous access : large-bore peripheral line
– Fluid resuscitation : Isotonic crystalloid
– Vasopressor : when the response to fluid resuscitation is not adequate or when fluid infusion is contraindicated
Is the patient appropriately monitored?
Is the patient adequately volume resuscitated?
Is the IV connected appropriately?
Are the vasopressors mixed adequately?
Is there an occult penetrating injury/ hidden bleeding?
Does the patient have pneumothorax?
Does the patient have adrenal insufficiency?
Is the patient allergic to medication?
Is there cardiac temponade? (esp. in renal failure or cancer patients)