1.         Hypovolaemia
l External fluid loss
l Sequestration of body fluids in the abdomen, chest,or limbs
2.         Cardiac
l Pump failure
l Cardiac tamponade
l Dissecting aortic aneurysm
l Arrhythmia
3.         Massive pulmonary embolus
4.         Sepsis
5.         Anaphylaxis
6.         Endocrine failure
7.         Neuropathic:from drugs,spinal cord injury or autonomic neuropathy
 

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