IBCC Episode 20 - Shock

In this co-hosted podcast, Josh and Adam discuss the critical aspects of recognizing, classifying, and treating shock, emphasizing its role as a final common pathway to death. They explore the different clinical presentations of shock, such as septic versus cardiogenic shock, and highlight key indicators like shock index, urine output, skin perfusion, and mental status. The hosts debate the utility of lactate and SVO2 as perfusion markers, advocating for a focus on clinical evaluation and patient history. They categorize the causes of shock into clinically relevant areas like arrhythmogenic, hypovolemic, and vasodilatory, and discuss the importance of bedside evaluations using monitors, echocardiography, and lung ultrasound. The conversation concludes with a discussion on stabilization strategies, including volume resuscitation, vasopressor use, antibiotic administration, and the selective use of steroids, while also acknowledging the complexities of managing multifactorial shock in patients.