Type-directed therapy after rapid classification.
Hypovolaemic
- • Crystalloid / blood (1:1:1 for trauma)
- • Source control of bleeding
Cardiogenic
- • Inotrope (dobutamine, milrinone)
- • Mechanical support if refractory
- • Address ischaemia / arrhythmia
Distributive (septic/anaphylactic/neurogenic)
- • Fluids + vasopressor (NA)
- • Source control
- • Steroids if refractory septic shock
Obstructive
- • Treat cause: thrombolyse PE, drain tamponade/tension PTX
Pearls
- • Lactate >4, MAP <65, ScvO2 <70 — escalate
- • Reassess after every intervention
Educational support only — follow institutional ICU protocols.
