‫‪Shock‬‬

‫اعداد الدكتور‬
‫زمن صاحب محمد‬
‫اختصاص طب الطوارئ والعناية المركزة‬
Shock is circulatory insufficiency that creates an imbalance
between tissue oxygen supply (delivery) and oxygen demand
(consumption).
MANAGEMENT
Decision Making
classify undifferentiated
shock
The quickSOFA assessment tool constitutes of three criteria:
1.Altered mental status – defined as a score lower than 15 in the Glasgow Coma Scale.
2.Fast respiratory rate – taking more than or exactly 22 breaths during each minute.
3.Low blood pressure – a systolic blood pressure (SBP) of less than or exactly 90 mmHg.
The patient may score 0 or 1 point in each of the three qSOFA criteria.
He gets the point if the condition of a criterium is fulfilled.
If all of the qSOFA criteria are met, the patient receives three points.
Based on his result he is then assigned into two mortality risk groups:
•0 - 1 point - low in-hospital mortality risk group
•2 – 3 points – high in-hospital mortality risk group – with a 3- to 14-fold increase in the rate of hospital mortality
across the entire range of baseline risk compared to those with 1 or fewer qSOFA points.
The end