Schock – eine Übersicht für die klinische Praxis

Abstract

Diagnosing and managing patients in shock is a challenge for the treating clinicians in acute medicine. Early diagnosis and treatment are crucial. Mortality of septic shock is between 40 % and 60 %, and that of the cardiogenic shock about 40 %. This article provides an overview of diagnostic approaches to the patient in shock, different aetiologies and treatment strategies, and it guides the clinician through the management from first contact until definite treatment.

Aufgrund der hohen Mortalität bei „Schock“ ist zügiges und adäquates Handeln essenziell. Grundlage ist das Wissen über die notwendige Diagnostik, die unterschiedlichen Ätiologien und die therapeutischen Ansätze der verschiedenen Schockformen. Dieser Beitrag zeichnet gezielt den Ablauf in der Versorgung des Schockpatienten nach, vom Erstkontakt bis zum Beginn der spezifischen Therapie, und bietet somit einen Leitfaden für die klinische Praxis.

Schlüsselwörter

Akutmedizin - Notaufnahme - kardiogener Schock - septischer Schock - anaphylaktischer Schock

Key words

acute medicine - emergency department - cardiogenic shock - septic shock - anaphylactic shock

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