HYPOVOLEMIC SHOCK

Hypovolemic shock is one of the major problems we encounter in acute critical illness. This tutorial explains the mechanisms by which the body compensates for hemorrhage/hypovolemia, why the blood pressure and hemoglobin saturation are unhelpful and what tools may be useful at the bedside to assess the patient.

I also briefly discuss resuscitation of the bleeding patient and compartment syndromes.

Pulse, Pulsatility Index and Pulse Pressure Variation

This tutorial looks at the pulse, what it is, the waveform and how that reflects systole and diastole. I then go on to look at the pulse waveform on pulse oximeters and the pulsatility index. Finally, I discuss the essential topic of Pulse Pressure Variability.