Hasanin Ahmed, Sanfilippo Filippo, Dünser Martin W, Ahmed Hassan M, Zieleskiewicz Laurent, Myatra Sheila Nainan, Mostafa Maha
Department of Anesthesia and Critical Care Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt.
University Hospital Policlinico, G. Rodolico - San Marco, Catania, Italy.
Int J Emerg Med. 2024 Jul 25;17(1):96. doi: 10.1186/s12245-024-00660-y.
Acute circulatory shock is a life-threatening emergency requiring an efficient and timely management plan, which varies according to shock etiology and pathophysiology. Specific guidelines have been developed for each type of shock; however, there is a need for a clear timeline to promptly implement initial life-saving interventions during the early phase of shock recognition and management. A simple, easily memorable bundle of interventions could facilitate standardized management with clear targets and specified timeline. The authors propose the "MINUTES" acronym which summarizes essential interventions which should be performed within the first 30 min following shock recognition. All the interventions in the MINUTES bundle are suitable for any patient with undifferentiated shock. In addition to the acronym, we suggest a timeline for each step, balancing the feasibility and urgency of each intervention. The MINUTES acronym includes seven sequential steps which should be performed in the first 30 min following shock recognition: Maintain "ABCs", INfuse vasopressors and/or fluids (to support hemodynamic/perfusion) and INvestigate with simple blood tests, Ultrasound to detect the type of shock, Treat the underlying Etiology, and Stabilize organ perfusion.
急性循环性休克是一种危及生命的紧急情况，需要一个有效且及时的管理方案，该方案会因休克的病因和病理生理学不同而有所差异。针对每种类型的休克都制定了具体指南；然而，在休克识别和管理的早期阶段，需要一个明确的时间线来迅速实施初步的救命干预措施。一个简单、易于记忆的干预措施组合包可以促进标准化管理，明确目标并规定时间线。作者提出了“MINUTES”这个首字母缩写词，它总结了在识别休克后的最初30分钟内应进行的基本干预措施。“MINUTES”组合包中的所有干预措施适用于任何未分化休克的患者。除了这个首字母缩写词，我们还为每个步骤建议了一个时间线，平衡每项干预措施的可行性和紧迫性。“MINUTES”首字母缩写词包括七个连续步骤，应在识别休克后的最初30分钟内执行：维持“ABC”（气道、呼吸、循环），输注血管加压药和/或液体（以支持血流动力学/灌注），通过简单血液检查、超声进行检查以检测休克类型，治疗潜在病因，以及稳定器官灌注。
