Endocrine shock refers to life-threatening shock states caused by hormonal deficiencies or endocrine crises that impair vascular tone, cardiac output, and metabolism. Unlike other forms of shock, endocrine shock is often diagnosed only after common causes such as sepsis, cardiogenic, or hypovolemic shock have been ruled out.
In this episode, we break down the pathophysiology, clinical presentation, and hemodynamic patterns of the most important endocrine emergencies: adrenal crisis, myxedema coma, thyroid storm, and severe hypoglycemia. We focus on recognition of key clues such as refractory hypotension, bradycardia, hypothermia, electrolyte abnormalities, and metabolic collapse.
Management principles including IV hydrocortisone for adrenal crisis, thyroid hormone replacement for myxedema coma, beta-blockade and thionamides for thyroid storm, and dextrose for hypoglycemia are reviewed alongside guideline-based recommendations. This video is designed for emergency medicine, critical care, and internal medicine trainees as well as board exam preparation.
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Playlist on Shock: https://youtube.com/playlist?list=PLf5bMa9_tvRjunk4I-rQZYPZn3qHqWFqW&si=kserFPPm7RYuhul-
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