Shock & Resuscitation

Six critical-care chapters — recognition and first moves, then each shock state in turn, every one cited to a current guideline. Septic shock is free in full; the rest open with a referral.

Open Shock & Resuscitation in the app

Shock: Recognition & First Moves lockedShock is inadequate tissue perfusion. Use warm/cold and congestion findings as bedside clues, then combine them with the history, perfusion markers…
Bleeding & Volume Loss: Hypovolemic Shock lockedWith hemorrhage, control the source immediately by pressure, tourniquet, surgery or interventional radiology while resuscitation proceeds.
Septic Shock: Source, Cultures, PressorsSepsis is infection with acute organ dysfunction, operationalized as a SOFA increase of at least 2 points. Septic shock adds vasopressor need for MAP…
When the Pump Fails: Cardiogenic Shock lockedSuspect cardiogenic shock when cardiac dysfunction causes tissue hypoperfusion, with or without sustained SBP <90 mm Hg; congestion and filling…
Anaphylaxis in the ICU lockedGive adrenaline 0.5 mg IM into the anterolateral thigh immediately for adult anaphylaxis and repeat after 5 minutes if airway, breathing or…
Obstructive Shock: Tamponade, Tension PTX, Massive PE lockedObstructive shock requires rapid cause-directed treatment: drain tamponade, decompress tension pneumothorax and select urgent PE reperfusion when…

All 92 chapters: ICU Decoded contents · open the interactive version.

ICU Decoded — original critical-care and internal-medicine pathways by Dr Javed Akhtar, each cited to a current guideline. For education and quick reference; verify every dose against local protocols before prescribing.

Open the app · Ward Pathways — 87 cases · ICU Decoded chapters · Aladin Chirag bedside tools

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