Since, shock has a critical impact on survival due to its multi organ involvement and grave consequences particularly if un recognized, early recognition of it using shock indices in early course of presentation in ED has fundamental importance for the triaging and resuscitation in the golden hours in the ED department. Interest has focused on the use of central venous oxygen saturation (ScvO2) in early resuscitation of critically ill patients. It is simply the oxygen saturation of the blood sample taken from the subclavian or internal jugular vein or the right atrium. Its application depends on the concept of oxygen delivery (DO2) theory, which depends on the oxygen content of arterial blood and cardiac output. Early hemodynamic assessment using Goal directed resuscitation history, physical examination, vital signs, central venous pressure (CVP) and other indices should be used in combination by the ED physician to diagnose and manage shock patients successfully. Zohair Al Aseri, Vital Indices to be used in Resuscitation of Patients with Shock in the Emergency Department Setting.
Last date updated on June, 2014