Carla Braxton, J. Martin Perez

Research output: Chapter in Book/Report/Conference proceedingChapter


Shock, by definition, is a clinical syndrome that develops due to inadequate tissue perfusion. Hypoperfusion results in insufficient delivery of oxygen and nutrients for metabolism, leading to severe vital organ dysfunction. Untreated or undertreated shock may result in multiple organ failure and death. Patients enter into the shock state due to hypovolemia, trauma, sepsis, cardiac dysfunction, or severe neurologic compromise. The physician's role in patient management is to ensure adequate hemodynamic support first (airway, breathing, circulation), followed by an aggressive search for the etiology of shock. With few exceptions, the first inotrope, the first pressor, should be fluid.

Original languageEnglish (US)
Title of host publicationLearning Surgery
Subtitle of host publicationThe Surgery Clerkship Manual
PublisherSpringer New York
Number of pages18
ISBN (Print)0387225838, 9780387225838
StatePublished - 2005

ASJC Scopus subject areas

  • Medicine(all)


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