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Effective care of the patient who has suffered severe shock as a result of hypovolemia or sepsis requires an almost endless series of decisions based on the sequential priorities of different organ systems. A course of action that demands the highest priority for support of the cardiovascular system may have to be suddenly modified because of a deleterious effect on the lungs that in turn may adversely effect renal function. An emergency operation to control progressive sepsis will frequently assume priority over an apparent contraindication to surgery because of severe hypotension. Treatment of shock is the discipline of the generalist
Treatment of Shock: Principles and Practice.. Ann Intern Med. ;84:626–627. doi: 10.7326/0003-4819-84-5-626_4
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Published: Ann Intern Med. 1976;84(5):626-627.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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