has component clinical diagnosis of uncompensated shock 3 1 1 1 1 combination of at least 3 of the following: - tachycardia - capillary refill time > 3s - reduced central pulse volume - decreased level of consciousness or loss of consciousness generalized urticaria or generalized erythema finding uncompensated shock sign finding tachycardia finding capillary refill time > 3s finding reduced central pulse volume finding decreased level of consciousness or loss of consciousness finding grunting finding diarrhoea finding mast cell tryptase elevation > upper normal limit finding gastrointestinal sign dry cough finding chest tightness finding erythema finding pruritus finding difficulty breathing finding clinical finding