Hypotension on the ward. Sepsis, cardiogenic, or bleeding?
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Hypotension on the ward. Sepsis, cardiogenic, or bleeding?
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📌 Show Notes
Hypotension on the Ward — Sepsis, Cardiogenic, or Bleeding?
Hypotension is one of the most time-critical problems you’ll encounter on the ward — but the real danger is not the number.
It’s the cause behind it.
In this episode, we break down how to approach low blood pressure under pressure, using a simple, structured framework that helps you think clearly at 2am.
Hypotension is not the diagnosis — it’s the warning.
In this episode of AcuteCast, we break down one of the most time-critical presentations in acute medicine: low blood pressure on the ward.
Is it sepsis?Cardiogenic shock?Or internal bleeding?
Because treating hypotension without understanding the cause can make things worse — not better.
Through a realistic night-shift scenario, we explore:
How to recognise shock early
The key differences between hypovolaemic, septic, and cardiogenic patterns
Why “just give fluids” can be dangerous
The most common on-call cognitive traps
A simple bounded-action framework you can use immediately on the ward
This episode is about thinking clearly under pressure — and making the right decision before the patient deteriorates.
🎯 Key takeaway:Don’t treat the number. Identify the shock. Treat the cause.
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