IDP Basic First Aid - How To Treat Shock

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How to treat

SHOCK
Dr. Fredie Robinson
Faculty of Medicine
Universiti Malaysia Sabah
2017
Contents
 Definition of Shock
 Types of Shock
 Symptoms/Signs of Shock
Definition of Shock
 Medically, shock is defined as a condition
where tissues in the body don't receive
enough oxygen and nutrients to allow the
cells to function.
 Untreated shock will lead to cell death,
organ failure, whole body failure and
ultimately death.
Types of Shock
 Hypovolaemic and Haemorrhagic Shock
◦ Normally caused by severe bleeding, loss of
water in the body as in severe vommitting &
diarrhoea, dehydration
Types of Shock
 Cardiogenic Shock
◦ Associated with Heart problems such as
heart attack
Types of Shock
 Neurogenic
◦ Damage nervous system such as brain & spine
Types of Shock
 Hypoglycemic Shock
◦ Low sugar in blood associated with Diabetes
mellitus
 Anaphylactic Shock
◦ Severe Allergic reaction
Symptoms/Signs of Shock
A person in shock has extremely low blood pressure.
Symptoms will include one or more of the following:
 Anxiety or agitation/restlessness
 Bluish lips and fingernails
 Chest pain
 Confusion
 Dizziness, lightheadedness, or faintness
 Pale, cool, clammy skin
 Low or no urine output
 Profuse sweating, moist skin
 Rapid but weak pulse
 Shallow breathing
 Unconsciousness
Shock Treatment
 Care at home
 Medical treatment
Shock Treatment
 Call 999 for immediate medical help.
 Check the person's Airway, Breathing, and
Circulation. If necessary, begin rescue
breathing and CPR.
Airway
 Assessment of whether the patient is
awake enough to try to take their own
breaths and/or if there is there anything
blocking the mouth or nose.
Breathing

 Assessment of the adequacy of breathing


and whether it may need to be assisted
with mouth-to-mouth resuscitation
Circulation
 Assessment of the adequacy of the blood
pressure adequate and determination of
whether intravenous lines are needed for
delivery of fluid or medications to
support the blood pressure.
Shock Treatment
 If the person is able to breathe, continue to check rate of
breathing at least every 5 minutes until help arrives.
 If the person is conscious and does NOT have an injury to
the head, leg, neck, or spine, place the person in the shock
position.
◦ Lay the person on the back
◦ Elevate the legs about 12 inches
◦ Do NOT elevate the head
◦ If raising the legs will cause pain or potential harm, leave the person
lying flat.
Shock Treatment
 Give appropriate first aid for any wounds,
injuries, or illnesses.
 Keep the person warm and comfortable.
 Loosen tight clothing.
Shock Treatment
 If person is vomit:
◦ Turn the head to one side to prevent choke
(only if NO suspicion of spinal injury.
◦ If a spinal injury is suspected, "log roll" him or
her instead (Keep the person's head, neck, and
back in line, and roll him or her as a unit.
Shock Treatment
 Don’t give the person anything by mouth,
including eat or drink.
 Don’t move the person with a known or
suspected spinal injury.
 Don’t wait for milder shock symptoms to
worsen before calling for emergency
medical help.
 Stay with the person and follow the first
aid steps until medical help arrives.
Shock Treatment
 Person in shock is hospitalized for further
treatment and observation
 They may need intravenous fluid or even
blood transfusion to maintain volume,
vasopressor drug may also be used to
maintain normal blood pressure
Shock Treatment
 While critically ill patients will be
admitted to ICU (intensive Care Unit)
 While in the best of care, there is still
significant risk of death.
 The mortality rate for shock depends on:
◦ Type of shock
◦ Reason for the shock
◦ Age and underlying health condition
Conclusion
 Recognize signs/symptoms of shock
 Recognize reasons that can lead to shock
 Know and provide simple First Aid or
how to handle situation for person in
shock
 Be with the person in shock until medical
help or paramedics arrive to manage the
patient
YOU MAYBE SAVING LIFE
WITHOUT KNOWING IT!

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