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Emergency Medicine Journal 2005;22:17-21; doi:10.1136/emj.2003.012450
© 2005 BMJ Publishing Group Ltd and the College of Emergency Medicine.

REVIEW

Critical care in the emergency department: shock and circulatory support

C A Graham and T R J Parke

Accident and Emergency Department, Southern General Hospital, Glasgow, UK

Correspondence to:
Correspondence to:
Dr T R J Parke
Accident and Emergency Department, Southern General Hospital, Glasgow G51 4TF, UK; tim.parke{at}sgh.scot.nhs.uk

ABSTRACT

Effective resuscitation includes the rapid identification and correction of an inadequate circulation. Shock is said to be present when systemic hypoperfusion results in severe dysfunction of the vital organs. The finding of normal haemodynamic parameters, for example blood pressure, does not exclude shock in itself. This paper reviews the pathophysiology, resuscitation, and continuing management of the patient presenting with shock to the emergency department.

Abbreviations: ED, emergency department; IV, intravenous; ECG, electrocardiography; CVP, central venous pressure


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