Fandom

Medic Wiki

Shock

114pages on
this wiki
Add New Page
Talk0 Share

Street Medic Wikia (beta), the online resource for street medics that anyone can edit

Shock is caused by not enough oxygenated blood getting to the brain and other body tissues.

There are two common types of shock Edit

  • Hypovolemic shock — Not enough blood. Caused by massive internal or external bleeding; or severe dehydration.
  • Anaphylactic shock — Whole-body allergic reaction.

Making the scene safe Edit

  • BSI (Body substance isolation) and Initial assessment.
  • Is whatever injured them going to injure you?
  • Keep the person warm
    • but remember, A, B, and C come before E in order of priority. Manage life- threatening airway obstruction or bleeding and call 911 first.

Assessment Edit

Signs and symptoms Edit

  • Anxiety and restlessness progressing to unresponsiveness (fainting)
  • Increased, weak heart rate
  • Pale, cool, sweaty skin.
  • Increased, shallow breathing
  • May complain of thirst or nausea

Allergic or hypovolemic? Edit

  • It is ok not to know what caused the shock – field treatment is almost identical.
  • They are differentiated in the field by finding out the MOI (cause).
    • Severe bleeding, vomiting, or diarrhea? Suspect hypovolemic.
    • Any severe injury, even without apparent bleeding? Suspect hypovolemic.
    • Allergic to bees or peanuts and just exposed? Suspect anaphylactic.

First aid treatment Edit

Hypovolemic shock Edit

  • Call 911 at first sign of shock. Do not wait for symptoms to worsen.
  • Stop any bleeding.
  • Reassure and comfort person. Keep them talking.
  • Monitor ABCs. Check respiratory rate every 5 minutes until help arrives.
  • Shock position:
    • Lying down
    • (no longer recommended) Legs elevated 12 inches if no spinal or pelvic injury
  • Loosen clothing that may be binding
  • Maintain healthy body temperature: warm and dry. Pad under, blanket over person.
  • If the person drools or vomits
    • Turn head to one side to prevent choking
    • If you suspect spinal injury, do not turn head. “Log roll” whole body.
  • DO NOT give anything by mouth.

Anaphylactic shock Edit

  • Follow directions for hypovolemic shock.
  • While waiting for help:
    • If the person has an “epi-pen,” help them find and administer it.
  • Press tip into thigh tissue and hold for at least 10 seconds.
    • If the person does not have an epi-pen, you can prick 4 Benadryl gel-caps with a safety-pin, and squeeze the gel under their tongue.

Ad blocker interference detected!


Wikia is a free-to-use site that makes money from advertising. We have a modified experience for viewers using ad blockers

Wikia is not accessible if you’ve made further modifications. Remove the custom ad blocker rule(s) and the page will load as expected.