Review Question - QID 106385

A 42-year-old man is brought to the emergency department by ambulance after an automobile accident, where he was an unrestrained passenger. He was extracted from the vehicle and found to be confused. No past medical information is available. On arrival in the trauma bay, the patient is confused and unable to answer questions. His temperature is 98.6°F (37°C), pulse is 120/min, blood pressure is 76/44 mmHg, and respiratory rate is 22/min. On physical exam, there is bruising over his sternum and left chest, with tenderness to palpation of these areas. Cardiac auscultation reveals normal heart sounds with no murmurs, rubs, or gallops. He has marked jugular venous distention and bibasilar crackles on lung auscultation with equal air entry bilaterally. Abdominal and cranial nerve exams are within normal limits. His extremities are cool with prolonged capillary refill. The patient is admitted to the intensive care unit and hemodynamic monitoring is established, which reveals a pulmonary capillary wedge pressure (PCWP) of 22 mmHg (reference range: 8-12 mmHg), central venous pressure (CVP) of 12 cmH2O (reference range: 4-12 cmH2O), cardiac output (CO) of 2.2 L/min (reference range: 4-8 L/min), and systemic vascular resistance (SVR) of 1,800 dynes/seconds/cm^-5 (reference range: 700–1,600 dynes/seconds/cm^-5). Which of the following types of shock best describes this patient's condition?