This document discusses shock, including its definition, categories, pathophysiology, and management. It defines shock as inadequate tissue perfusion to meet demands, usually due to low blood flow or oxygen delivery. The four main categories of shock are hypovolemic, cardiogenic, obstructive, and distributive. Compensatory mechanisms aim to maintain tissue perfusion through vasoconstriction and fluid retention, but failure of these mechanisms leads to end organ dysfunction. Goals of treatment are to optimize preload, contractility, afterload, and tissue oxygen delivery through volume resuscitation and vasoactive drugs.