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JOURNAL ARTICLE
REVIEW
Beyond Mean Arterial Pressure and Lactate: Perfusion End Points for Managing the Shocked Patient.
Emergency Medicine Clinics of North America 2019 August
Patients in shock present frequently to the emergency department. The emergency physician must be skilled in the resuscitation of both differentiated and undifferentiated shock. Early, aggressive resuscitation of patients in shock is essential, using macrocirculatory, microcirculatory, and clinical end points to guide interventions. Therapy should focus on the restoration of oxygen delivery to match tissue demand. This article reviews the evidence supporting common end points of resuscitation for common etiologies of shock and limitations to their use.
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