Definition Of Decompensated Shock

Any adult patient having a systolic blood pressure BELOW 90 mm Hg AND exhibiting signs of inadequate perfusion, which may include:

        Altered mental status (e.g., lethargy, coma);

        Increased Pulse Rate (Tachycardia);

        Pale Skin (Pallor);

        Cool, Clammy Skin (Diaphoresis);

        Pale conjunctiva;

        Delayed capillary refill;

        Orthostatic vital sign changes (EMT and AEMT only)

Any pediatric patient having a systolic blood pressure BELOW 70 mm/Hg OR the following signs of inadequate central (proximal) perfusion:

        Altered mental status (e.g., lethargy, coma);

        Extensive cyanosis of all extremities;

        Weak or impalpable central (proximal) pulses (femoral, brachial, carotid).