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A formal description of physiologic reasoning in the diagnosis of shock states is presented in this paper. Included with this conceptual framework is a discussion of key tests or findings that can be used to differentiate between possible diagnoses, and the pairing of treatment strategies to distinct classes of physiologic abnormalities. It is hoped that the methodology presented here will demonstrate the primacy of physiologic reasoning in the diagnosis and treatment of hemodynamic instability. Advantages of this method are speed and accuracy, efficient use of resources, and mitigation against sources of medical errors.<\/jats:p>","DOI":"10.1155\/2011\/105348","type":"journal-article","created":{"date-parts":[[2011,8,9]],"date-time":"2011-08-09T19:00:23Z","timestamp":1312916423000},"page":"1-8","source":"Crossref","is-referenced-by-count":1,"title":["Use of Physiologic Reasoning to Diagnose and Manage Shock States"],"prefix":"10.1155","volume":"2011","author":[{"given":"Geoffrey","family":"Lighthall","sequence":"first","affiliation":[{"name":"Department of Anesthesia, Stanford University School of Medicine, 300 Pasteur Drive H3580, Stanford, CA 94305, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"98","reference":[{"issue":"1","key":"1","doi-asserted-by":"crossref","first-page":"22","DOI":"10.5694\/j.1326-5377.1999.tb123492.x","volume":"171","year":"1999","journal-title":"Medical Journal of 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