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April 1985

Clinical Management of Shock

Arch Surg. 1985;120(4):507. doi:10.1001/archsurg.1985.01390280093028

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


This concentrated little monograph contains the distillate of what students, emergency medicine physicians, and primary care physicians should know about the pathophysiology and management of shock.

The first two chapters (84 pages) are of the most interest to surgeons as they contain a well-organized, cleanly written, didactic presentation of physiologic changes and measurements that are of clinical significance in understanding and treating shock. There is a refreshing clarity and logic in the way the authors have developed their theme. They start with physiologic changes in shock and then develop the expected alterations in the measurement of cardiovascular functions. The authors then make a logical step to the various derivatives based on these measurements. This clarifies rather than obfuscates the problem, which is such a common error in so much of the current literature. It requires a sophisticated mind to simplify a complex subject.

Marginal summary notes make for quick reference

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