Obstetric Shock Index Calculator

Overview

Calculates shock index from heart rate and systolic blood pressure in an obstetric patient.

Clinical Significance

A rising index may support early recognition of haemodynamic compromise, but thresholds vary and urgent clinical assessment takes priority.

When to Use

• Use when the calculation is relevant to the clinical question.
• Confirm that the population and units match the validated method.
• Use current and reliable measurements.

How It Is Calculated

• Shock index = heart rate ÷ systolic blood pressure.

Interpretation

• A rising index may support early recognition of haemodynamic compromise, but thresholds vary and urgent clinical assessment takes priority.
• Interpret alongside the full clinical picture and current guidance.

Worked Example

Enter the required measurements in the stated units. MedicalC then applies: Shock index = heart rate ÷ systolic blood pressure.

Patient Considerations

• Consider age, body size, pregnancy, organ function and treatment effects where relevant.
• Repeat the calculation when inputs or clinical status materially change.

Limitations

• Accuracy depends on the quality and units of the entered data.
• The equation may not be validated in every patient population.
• This tool does not replace clinical judgement or specialist advice.

Clinical Pearls

• Check units before calculating.
• Document the source and timing of each input.
• Use trends where clinically appropriate.

Common Mistakes

• Mixing SI and conventional units.
• Using non-contemporaneous measurements.
• Treating the output as a diagnosis or prescription.

Evidence Base

The implemented calculation follows the published or guideline-based relationship: Shock index = heart rate ÷ systolic blood pressure.

References

1. Le Bas A, et al. Use of the shock index to identify haemodynamic compromise in postpartum haemorrhage. Int J Gynaecol Obstet. 2014. — Primary publication, guideline or established source supporting the calculation.