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A good approach when dealing with hypotension at the bedside includes using the following systematic four step evaluation, which relies heavily on our bedside physical examination and ultrasound skills to evaluate each individual component: 1. Heart Rate 2. Volume Status 3. Cardiac Performance 4. Systemic Vascular Resistance #Diagnosis #Management #EM #IM #PCC #Hypotensive #Hypotension #Approach #Algorithm