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If you have a patient that has a high shock index I know you don't want to always through IVF at him, as this could worsen an obstructive or cardiogenic shock. On the other hand, if the patient is highly unstable you may not want to wait for that workup before resuscitating. In the latter case I imagine that you would give IVF empirically if there is strong clinical suspicion for distributive or hypovolemic causes of shock. In the former I imagine you still might give empiric fluids if the diagnosis is clinically obvious (i.e. anaphylaxis in a previously healthy young adult with h/o food allergies).
I haven't been able to verify this online, and I won't have access to an EM doc for another 3 weeks so I'm asking here. I made a flow chart of my thought process. The big difference is p I would greatly appreciate any feedback regarding if my thinking is accurate.
Thanks!
I haven't been able to verify this online, and I won't have access to an EM doc for another 3 weeks so I'm asking here. I made a flow chart of my thought process. The big difference is p I would greatly appreciate any feedback regarding if my thinking is accurate.
Thanks!