Understand the basic physiology of oxygen delivery to the tissues of the body
This includes determination of cardiac output, oxygen content, and oxygen consumption as well as a description of the blood flow variables and significance of flow dependent oxygen consumption.
Understand the basic clinical tools used to diagnose shock states.
This involves recognition of physical examination findings in shock states, basic monitoring tools such as blood pressure and heart rate that can be utilized to determine a Shock Index and pulse pressure variation, as well as laboratory evaluation of shock patients.
Understand the advanced tools that are used to evaluate shock states
This includes use of a pulmonary artery catheter to measure cardiac output and systemic vascular resistance, as well as pulmonary artery wedge pressure. Additional monitoring techniques including transthoracic bioimpedance, near-infrared spectroscopy and microcirculatory videomicroscopy should be understood.