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We'll let this play out a little, but let's discuss the processes at play here. No matter what level of training you are, the processes are the same and I find it helpful to work through it every time in your head then out loud with your team at the most basic levels. Diagnosis and treatment is a little different depending on your level and we'll discuss that later.
1. Even though you all are intuitively thinking it, come out and state it, this patient is in SHOCK. He is hypotensive with signs of end organ hypoperfusion ( altered mental status).
2. What type of shock could it be (there are only 4 main types) and what type is it most likely?
3. Is there something I have to do right now to prevent this patient from dying en route?
4. What is the best place for him? Is it wise to travel to the best place or use an alternate location for stabilization?
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