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Undifferentiated shock

Educational use only. Not clinically reviewed

58-year-old woman for Emergency assessment of undifferentiated shock. About 8 simulated minutes.

What you will practise

  • Recognize shock from serial tissue-perfusion evidence, not pressure alone.
  • Use focused cardiac findings to narrow the shock pattern without claiming a definitive diagnosis.
  • Check a dynamic response before a bounded fluid challenge.
  • Reassess the same perfusion markers and escalate the unresolved etiologic workup.

Review and sources

Not clinically reviewed. No clinician has signed this scenario.

  • Monnet X, Messina A, Greco M, et al. ESICM guidelines on circulatory shock and hemodynamic monitoring 2025. Intensive Care Med. 2025;51:1971-2012. doi:10.1007/s00134-025-08137-z.
  • Arabi YM, Belley-Cote E, Carsetti A, et al. ESICM clinical practice guideline on fluid therapy in adult critically ill patients. Part 1. Intensive Care Med. 2024;50:813-831. doi:10.1007/s00134-024-07369-9.

Every scenario in this module

Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.