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Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e | Section 3. Resuscitation > | Chapter 25. Approach to the Patient in Shock Sections: Epidemiology, Mortality, Pathophysiology, Clinical Features, Diagnosis, Imaging, Hemodynamic Monitoring, Treatment, Controversies of Treatment, Disposition and Transition to the Intensive Care Unit, Prognosis, References. Topics Discussed: shock. Excerpt:"The exact number of cases of shock that present to the ED in
the U.S. is difficult to ascertain due to the insensitivity of clinical
parameters, current definitions, and lack of a central database
repository. Previous estimates propose that approximately 1 million
cases of shock are seen in the ED each year in the U.S.1 These
estimates are largely based upon the assumption that hypotension,
defined as a systolic blood pressure <90 mm Hg is consistent
with shock in adults. Based upon a low blood pressure, the incidence
of hypotension that present to American EDs is approximately 5.6
million cases/year.2..."
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