Is This Patient Hypotensive? Your patient’s blood pressure is 102/60. Their heart rate is 135. You might look at that and say, “Well, 102 isn’t that low, right?” But let’s take a second look, because this patient is actually profoundly hypotensive. When assessing perfusion, shock index is a powerful, underused tool. It’s calculated like this: Shock Index = Heart Rate / Systolic BP In this case: 135 / 102 = 1.32 A shock index over 0.9 is concerning, A shock index over 1.0 suggests early or ongoin
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