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Shock: A Life Threatening Emergency. Result of circulatory system failure Inadequate blood flow to some part of the body A MAJOR CAUSE OF DEATH !!!. Shock #2. Always treat victims for shock Shock: can be prevented cannot be reversed. Types of Shock. Cardiogenic Heart failure
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Shock: A Life Threatening Emergency • Result of circulatory system failure • Inadequate blood flow to some part of the body • A MAJOR CAUSE OF DEATH !!!
Shock #2 • Always treat victims for shock • Shock: • can be prevented • cannot be reversed
Types of Shock • Cardiogenic • Heart failure • Neurogenic • Spinal cord damage • Drug overdose • Vessels dilate • Blood supply insufficient to fill vessels
Types of Shock #2 • Septic • Result of a bacterial infection • Vessels lose ability to contract • Hypovolemic (Fluid Loss) • Most common type • Blood loss • Dehydration from vomiting, diarrhea or profuse sweating • Anaphylactic – will be dealt with later
Shock: What To Look For • Pale, cool, clammy skin • Altered mental status • Rapid breathing and pulse • Unresponsiveness • Nausea and vomiting • Anxiety / fear / sleepiness • Blue nailbeds / skin
Shock: What To Do • Care for life threatening injuries • Call 911 • Conscious victim • In absence of spinal cord injury: elevate legs 8-12 inches • injuries to upper half of body – raise the upper half of body • injuries to lower half of body, raise the lower half of the body • Loosen clothing • Cover victim (over and under) • Do not let victim eat or drink • May suck on wet cloth • Unconscious: Place in recovery position and cover
Shock: When To Place In A Half Sitting Position • Difficulty breathing • Head injuries (when appropriate) • Strokes • Chest injuries • Penetrating eye injuries • Heart attack
Anaphylactic Shock • Massive allergic reaction • Causes dilation of vessels and carries fluid out of the blood through the capillary walls • Always call 911 • Causes of Anaphylactic Shock • Medications • Foods and food additives • Monosodium glutamate, peanuts • Plant pollens • Bee stings • Radiographic dyes
Characteristics of Anaphylaxis • Usually comes on in minutes / Peaks in 15-30 minutes • Sensation of warmth • Intense itching of soles of feet and palms of hands • Breathing difficulties • Tightness and swelling in throat • Coughing, sneezing, wheezing • Tightness in chest
Characteristics of Anaphylaxis #2 • Increased pulse rate • Swollen face, tongue, mouth • Nausea and vomiting • Dizziness • Blue around lips and mouth
Anaphylaxis: What To Do • Check ABC’s • Use ice pack on bee sting • Inject epinephrine (dilates bronchioles) • (hopefully victim will have some) • Inject in outside part of thigh, hold for 10 seconds • May need to repeat • Get help immediately - 911(float trip) • Benedryl – too slow for major emergency, but worth a try