Obstructive shock

Obstructive shock in critical care is a life-threatening condition where blood flow is severely impeded due to an extracardiac obstruction, despite adequate intravascular volume. Common causes include pulmonary embolism, cardiac tamponade, tension pneumothorax, and severe aortic stenosis. Rapid identification through medical ultrasound is crucial for guiding immediate interventions, such as pericardiocentesis or needle decompression, to alleviate the obstruction and restore circulation.

Ultrasound in obstructive shock is vital for point-of-care assessment, allowing clinicians to visualize the heart, lungs, and great vessels for signs of obstruction. Early diagnosis and targeted treatment improve patient outcomes in critical care settings.

Clinical Author

Bruno Vargas is originally from Mexico City. He first trained as an Emergency Medical Technician at la Universidad Panamericana (UP) before starting medical school at la Universidad Nacional Autónoma de México (UNAM) in Mexico City. Later he did his social service year in the Sierra Madre of Chiapas with Partners in Health Mexico/Compañeros en Salud (CES) in 2019, where he was trained in Global Health, social medicine, and introduced to Point of Care Ultrasound (POCUS). At that moment while working in a resource-limited setting he became passionate about POCUS. He graduated as a general practitioner, and afterward stayed with CES during the pandemic as part of the COVID-19 task force, training community healthcare workers and “pasantes” (first-year doctors doing their year of social service). He finished the Ultrasound Leadership Academy (ULA) fellowship and has started a POCUS training program at his site with midwives, nurses, doctors, and trainees from these areas. He is currently doing a Global Health Fellowship with HEAL as a site fellow in Chiapas with CES. He has committed to a lifelong career in global health providing healthcare access to the most marginalized communities. He has a profound respect and admiration for nature and loves any kind of outdoor activities, especially bicycling, high mountain, and scuba-diving.

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