According to REMAC, a shock index greater than what value is considered high-risk?

The shock index is a valuable clinical tool used to assess a patient's hemodynamic status, particularly in cases of trauma or significant blood loss. It is calculated by taking the heart rate and dividing it by the systolic blood pressure.

A shock index greater than 1 is generally considered to indicate increased risk for shock, while values exceeding 1.5 suggest even greater concern, particularly for severe hypotension and potential circulatory failure. Therefore, the threshold of 1 indicates a high-risk scenario for patients and necessitates further evaluation and possible intervention.

In this context, a shock index greater than 0.5 is not considered high-risk; instead, it can signal a less severe issue. A shock index of 0 is not clinically meaningful as it suggests a heart rate of zero or impossibly low blood pressure, which would indicate a state of clinical death. Hence, the value of 1 is more useful in clinical decision-making for identifying high-risk patients.