Generalidades y manejo inicial del shock

Daniel Osvaldo Sánchez Zobarzo, Barbara Lara Hernández, Hans Jurgen Clausdorff Fiedler, Andrés Ignacio Guzmán Herrera

Resumen


El shock es un síndrome multifactorial que requiere un enfrentamiento sistematizado para su identificación, clasificación y tratamiento adecuado.

A pesar de los avances en medicina, distintos estudios y series clínicas indican que la mortalidad puede llegar hasta un 50%. La única variable que ha mostrado ser consistente en disminuir la mortalidad, independiente de la causa del shock, es su reconocimiento y manejo precoz.

Este manuscrito pretende dar un marco teórico acerca de la presentación del paciente en shock en el servicio de urgencia, describir sus principales características y orientar el estudio y tratamientos tiempo-dependientes desde su primera evaluación por el equipo médico.

Inicia con la exposición de casos clínicos relevantes al tema. Luego revisa la fisiopatología del fenómeno del shock y sus subtipos. Finalmente ofrece herramientas para su evaluación y tratamiento en el servicio de Urgencia.


Palabras clave


shock; indiferenciado; sepsis; evaluación primaria; emergencia; urgencia

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Referencias


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DOI: http://dx.doi.org/10.11565/arsmed.v44i1.1375



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