Shock chart-I Every critically ill pts have their own hemodynamic profile and response to treatment based on their characteristic and disease. Use combination of all hemodynamic monitoring available [1.clinical; urine output, consciousness. 2. Macrodynamic; Pressure (MAP, CVP), Flow (Cardiac output, GEDVI, CFI, SVRI, EVLWI) 3. Microdynamic and Tissue Oxygenation; Lactate, CO2 gap, ScvO2) to make a best decision of treatment.