Shock management is where small clinical decisions can have outsized consequences. In this episode, we break down four common mistakes clinicians make when managing patients in shock, with a focus on physiology-driven decision making rather than protocol-only care. We discuss the consequences of ignoring right ventricular failure, delaying vasopressors, treating mean arterial pressure instead of tissue perfusion, and over-resuscitating patients with intravenous fluids. Each mistake is explored through the lens of bedside assessment and hemodynamic reasoning, highlighting how these errors can perpetuate hypoperfusion and organ dysfunction. This episode is designed for emergency medicine physicians, intensivists, residents, and trainees looking for a practical, high-yield framework to approach undifferentiated shock in the emergency department and ICU. Link to YouTube Video: https://www.youtube.com/watch?v=IxW-DlMxeeU 📚 Download the PDF study guide for this video: 👉 https://www.patreon.com/c/WhiteBoardMedicine Patreon members get access to mini-courses, study guides, practice questions, ad-free videos, and in-depth educational discussions designed for emergency and critical care clinicians. Disclaimer: This content is for educational purposes only and does not constitute medical advice. Clinical decisions should be made by licensed healthcare professionals using their clinical judgment, institutional protocols, and current evidence. Whiteboard Medicine assumes no responsibility for clinical outcomes.

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“What did the council decide on item 42?” — answered with the speaker and the moment.

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