Shock index calculator

Guides that use this tool

• Beck's Triad: Cardiac Tamponade Signs for EMS

  Hypotension, distended neck veins and muffled heart sounds: what Beck's triad means, why it is so often incomplete, the findings that support tamponade, what else looks like it, and what EMS can do.

• Chest Trauma: Tension Pneumothorax, Sucking Chest Wounds, Flail Chest and Tamponade

  Simple and tension pneumothorax, sucking chest wounds and chest seals, flail chest, hemothorax, rib fractures and cardiac tamponade: how each looks in the field and what EMS does first.

• EMT Patient Assessment Scenarios: Four Medical and Trauma Calls, Worked Through

  Four worked EMT patient assessment scenarios, two medical and two trauma, with the findings each question reveals, the key decisions, and the mistakes each call is built to catch.

• Heart Anatomy and Blood Flow: How Blood Moves Through the Heart, for EMS

  The chambers, valves and great vessels, blood flow through the heart step by step, the coronary arteries and conduction system, and why they matter on a cardiac call.

• MARCH Algorithm: Massive Hemorrhage, Airway, Respiration, Circulation, Hypothermia

  The MARCH algorithm from Tactical Combat Casualty Care: why it treats massive bleeding before the airway, what each letter covers, and how it lines up with XABCDE in civilian EMS.

• Obstetric Emergencies: Preeclampsia Symptoms, Eclampsia, Shoulder Dystocia and Breech Delivery

  Preeclampsia symptoms, eclampsia and HELLP, supine hypotension, shoulder dystocia, breech delivery, a prolapsed cord and postpartum hemorrhage, as principles for EMS.

• Patient Assessment in EMS: Primary and Secondary Assessment, Step by Step

  The EMS patient assessment in order: scene size-up, primary assessment, history, secondary assessment, vital signs and reassessment, and how medical and trauma calls differ.

• Perfusion and Shock: Cardiac Output, the Types of Shock, and Compensated vs Decompensated

  What perfusion and cardiac output are, the four types of shock and how each looks in the field, and why compensated shock hides behind a normal blood pressure.

• SIRS Criteria vs qSOFA: Sepsis Signs, Sepsis-3 and What EMS Can Measure

  The SIRS criteria and where they came from, how Sepsis-3 and qSOFA changed the definition of sepsis, and which sepsis signs EMS can actually measure in the field.

• Vital Signs by Age: Normal Pediatric and Adult Ranges for EMS

  The vital signs EMS takes and how to take each well, with commonly published normal heart rate, breathing rate and blood pressure ranges from newborn to adult.

Other clinical tools

• Glasgow Coma Scale
• Rule of Nines
• Parkland formula
• IV drip rate
• Apgar score
• Pediatric weight estimate
• Drug dose calculator
• START and JumpSTART triage
• Stroke scales: Cincinnati and LAMS
• RSI checklist
• SBAR handoff builder
• qSOFA
• Pediatric Glasgow Coma Scale
• Oxygen tank duration
• EKG rhythm practice
• MAP calculator

Full scenarios

Run the whole call, dispatch to handoff.

Every one of the 207 calls in the library is written by a paramedic and runs at EMT or Paramedic scope. You work the call in your own words, and the debrief shows you what you missed and why it mattered.