The initial evaluation of any critically ill patient in shock should include assessing and establishing an airway, evaluating breathing (which includes consideration of mechanical ventilator support), and restoring adequate circulation.2 Adequate oxygenation should be ensured with a goal of achieving an arterial oxygen saturation of 90% or greater.
REFERENCES 2. Holmes CL, Walley KR. The evaluation and management of shock. Clin Chest Med 2003;24:775-89.