The MINUTES bundle for the initial 30 min management of undifferentiated circulatory shock: an expert opinion
Dublin Core
Title
The MINUTES bundle for the initial 30 min management of undifferentiated circulatory shock: an expert opinion
Subject
Shock, Ultrasound, Vasopressors, Fluids, Norepinephrine, Hypotension, Congestion
Description
Abstract
Acute circulatory shock is a life-threatening emergency requiring an efficient and timely management plan, which
varies according to shock etiology and pathophysiology. Specific guidelines have been developed for each type of
shock; however, there is a need for a clear timeline to promptly implement initial life-saving interventions during
the early phase of shock recognition and management. A simple, easily memorable bundle of interventions could
facilitate standardized management with clear targets and specified timeline. The authors propose the “MINUTES”
acronym which summarizes essential interventions which should be performed within the first 30 min following
shock recognition. All the interventions in the MINUTES bundle are suitable for any patient with undifferentiated
shock. In addition to the acronym, we suggest a timeline for each step, balancing the feasibility and urgency of
each intervention. The MINUTES acronym includes seven sequential steps which should be performed in the first
30 min following shock recognition: Maintain “ABCs”, INfuse vasopressors and/or fluids (to support hemodynamic/
perfusion) and INvestigate with simple blood tests, Ultrasound to detect the type of shock, Treat the underlying
Etiology, and Stabilize organ perfusion.
Keywords Shock, Ultrasound, Vasopressors, Fluids, Norepinephrine, Hypotension, Congestion
Acute circulatory shock is a life-threatening emergency requiring an efficient and timely management plan, which
varies according to shock etiology and pathophysiology. Specific guidelines have been developed for each type of
shock; however, there is a need for a clear timeline to promptly implement initial life-saving interventions during
the early phase of shock recognition and management. A simple, easily memorable bundle of interventions could
facilitate standardized management with clear targets and specified timeline. The authors propose the “MINUTES”
acronym which summarizes essential interventions which should be performed within the first 30 min following
shock recognition. All the interventions in the MINUTES bundle are suitable for any patient with undifferentiated
shock. In addition to the acronym, we suggest a timeline for each step, balancing the feasibility and urgency of
each intervention. The MINUTES acronym includes seven sequential steps which should be performed in the first
30 min following shock recognition: Maintain “ABCs”, INfuse vasopressors and/or fluids (to support hemodynamic/
perfusion) and INvestigate with simple blood tests, Ultrasound to detect the type of shock, Treat the underlying
Etiology, and Stabilize organ perfusion.
Keywords Shock, Ultrasound, Vasopressors, Fluids, Norepinephrine, Hypotension, Congestion
Creator
Ahmed Hasanin1*, Filippo Sanfilippo2,3, Martin W Dünser4
, Hassan M Ahmed5
, Laurent Zieleskiewicz6
,
Sheila Nainan Myatra7
and Maha Mostafa1
, Hassan M Ahmed5
, Laurent Zieleskiewicz6
,
Sheila Nainan Myatra7
and Maha Mostafa1
Source
https://doi.org/10.1186/s12245-024-00660-y
Date
2024
Contributor
Peri Irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Ahmed Hasanin1*, Filippo Sanfilippo2,3, Martin W Dünser4
, Hassan M Ahmed5
, Laurent Zieleskiewicz6
,
Sheila Nainan Myatra7
and Maha Mostafa1, “The MINUTES bundle for the initial 30 min management of undifferentiated circulatory shock: an expert opinion,” Repository Horizon University Indonesia, accessed April 26, 2026, https://repository.horizon.ac.id/items/show/12377.