Criteria for Evaluating Acute Shock States
The discussion focused mainly on the very early diagnosis of the hyperdynamic state of septic shock. It was pointed out that the first diagnosis is a clinical one. Mental disorientation and otherwise unexplained hyperventilation have to be regarded as highly alarming symptoms, even though the patient may still look healthy with pink skin, normal urine output, and normal hemodynamics. The next step toward diagnosis is the measurement of the arterial PO2, which is often inadequate for the actual FiO2 and the patient’s, age. It was considered essential to establish the diagnosis as soon as possible to avoid the deleterious transition from the hyperdynamic to the hypodynamic shock state.