Documentation Tip of the Week: Shock

Posted on Wed, Sep 09, 2015
Documentation Tip of the Week: Shock

Our weekly feature of documentation tips for clinicians.

By Timothy Brundage, MD

Shock is typically associated with evidence of inadequate tissue per fusion on physical examination

  • Skin - Degree of cutaneous perfusion
  • Kidneys - Urine output
  • Brain - Mental status

The presence of low blood pressure should not be a prerequisite for defining shock: compensatory mechanisms may preserve blood pressure through vasoconstriction, while tissue perfusion and oxygenation are already decreased significantly.

The definition of circulatory shock emerging from this consensus conference does not require the presence of hypotension.

Consensus on circulatory shock 2014

Timothy Brundage

Dr. Timothy Brundage is a hospitalist for EmCare at St. Petersburg General Hospital in St. Petersburg, Fla. Dr. Brundage earned his bachelor’s degree in chemistry and molecular biology at the University of Michigan, his M.D. at the Wayne State University School of Medicine and completed his residency in internal medicine at the University of South Florida College of Medicine. Subscribe to Dr. Brundage’s weekly documentation tips, or ask him about specific documentation issues, by emailing him at

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