
Sunday Jan 04, 2026
#198 Occult Cardiogenic Shock Explained | The Shock You’re Missing at the Bedside
Occult cardiogenic shock is one of the most commonly missed shock states in Emergency Medicine and Critical Care. These patients may appear “stable” — with near-normal blood pressure — yet have severe cardiac dysfunction, low cardiac output, and poor tissue perfusion.
In this episode, we break down: 🔹 What occult cardiogenic shock actually is 🔹 Why blood pressure alone is misleading 🔹 The underlying physiology of low cardiac output shock 🔹 How to recognize occult cardiogenic shock at the bedside 🔹 The role of bedside ultrasound, lactate, ScvO₂, and clinical clues 🔹 Practical management principles in the ED and ICU
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Playlist on Shock: https://youtube.com/playlist?list=PLf5bMa9_tvRjunk4I-rQZYPZn3qHqWFqW&si=kserFPPm7RYuhul-
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