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C R E A T E D B Y :
Trauma - Shock
Shock
 Definition-reaction of body to failure of circulatory system to provide
enough blood to all vital organs of body. Failure of perfusion or
hypoperfusion.
 (ITP) Inadequate Tissue Perfusion
 Chances of survival are greatly increased if patient is treated within first
hour of injury ("golden hour").
 The Body develops shock through:
1. Heart-if heart fails to pump required blood volume efficiently, shock
will develop.
2.Vessels-circulatory system must operate as a closed system. If vessels
are cut, blood is lost and shock will develop.
3.Blood volume-there must be enough blood to fill vessels. If there is loss
of volume or vessels enlarge so system is not filled, shock will develop.
Types of Shock
 1. Hypovolemic-bleeding shock caused by blood loss or loss of
plasma.
 2. Cardiogenic-heart shock caused by heart failing to pump enough
blood.
 3. Neurogenic-nerve shock caused when nervous system is damaged
from an injury and it cannot control diameter of blood vessels.
 4. Anaphylactic-allergy shock, a life-threatening reaction caused by
something to which patient is extremely allergic.
 5. Psychogenic-fainting, disrupting proper blood flow to brain.
 6. Metabolic-fluid shock caused by loss of body fluids.
 7. Septic-bloodstream shock caused by infection.
Signs and Symptoms of Shock
Symptoms include:
a. Weakness
b.Nausea
c. Thirst
d.Dizziness
e. Restlessness and fear
Signs of shock include:
a. Entire body assessment-look for
restlessness or combativeness,
profuse external bleeding,
vomiting or loss of body fluids,
shaking and trembling.
b.Altered mental status-patient may
become disoriented, confused,
unresponsive, faint or become
unconscious.
c. Breathing-shallow and rapid.
d.Pulse-rapid and weak.
e. Skin-pale, cool, and clammy (may
be sweating profusely).
f. Face-pale, often with blue color at
lips, tongue, earlobes.
g. Eyes-lackluster, pupils dilated.
Pattern of Shock
 1. Increased pulse rate
 2. Increased breathing rate
 3. Restlessness or combativeness
 4. Skin changes indicating possible shock
 5. Rapid, weak pulse and labored, weakened respirations
 6. Changes in mental status
 7. Respiratory arrest, then cardiac arrest can develop
Prevention and Care for Shock
 1. Alert 911/EMS dispatcher.
 2. Perform scene size-up.
 3. Perform initial assessment. (Keep patient's
airway open and prevent forward tilting of head.)
 4. Assist the patient in lying down and explain
importance of remaining at rest.
 5. Control external bleeding and splint fractures.
 6. Keep patient warm but do not overheat.
 7. Properly position patient.
 8. Give the patient nothing by mouth.
 9. Monitor vital signs.
 10. Provide oxygen per local protocols.
Fainting
 1. A mild form of shock that is usually self- correcting
 2. Examine the patient for injury and keep him lying down.
 3. Check blood pressure if you have the equipment.
 4. May be a warning sign of more serious problems; assess and
take a careful history.
 5. Prevent fainting by having patient lower head between knees.

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PS_FREL_11_TraumaShockPowerPoint.ppt

  • 1. C R E A T E D B Y : Trauma - Shock
  • 2. Shock  Definition-reaction of body to failure of circulatory system to provide enough blood to all vital organs of body. Failure of perfusion or hypoperfusion.  (ITP) Inadequate Tissue Perfusion  Chances of survival are greatly increased if patient is treated within first hour of injury ("golden hour").  The Body develops shock through: 1. Heart-if heart fails to pump required blood volume efficiently, shock will develop. 2.Vessels-circulatory system must operate as a closed system. If vessels are cut, blood is lost and shock will develop. 3.Blood volume-there must be enough blood to fill vessels. If there is loss of volume or vessels enlarge so system is not filled, shock will develop.
  • 3. Types of Shock  1. Hypovolemic-bleeding shock caused by blood loss or loss of plasma.  2. Cardiogenic-heart shock caused by heart failing to pump enough blood.  3. Neurogenic-nerve shock caused when nervous system is damaged from an injury and it cannot control diameter of blood vessels.  4. Anaphylactic-allergy shock, a life-threatening reaction caused by something to which patient is extremely allergic.  5. Psychogenic-fainting, disrupting proper blood flow to brain.  6. Metabolic-fluid shock caused by loss of body fluids.  7. Septic-bloodstream shock caused by infection.
  • 4. Signs and Symptoms of Shock Symptoms include: a. Weakness b.Nausea c. Thirst d.Dizziness e. Restlessness and fear Signs of shock include: a. Entire body assessment-look for restlessness or combativeness, profuse external bleeding, vomiting or loss of body fluids, shaking and trembling. b.Altered mental status-patient may become disoriented, confused, unresponsive, faint or become unconscious. c. Breathing-shallow and rapid. d.Pulse-rapid and weak. e. Skin-pale, cool, and clammy (may be sweating profusely). f. Face-pale, often with blue color at lips, tongue, earlobes. g. Eyes-lackluster, pupils dilated.
  • 5. Pattern of Shock  1. Increased pulse rate  2. Increased breathing rate  3. Restlessness or combativeness  4. Skin changes indicating possible shock  5. Rapid, weak pulse and labored, weakened respirations  6. Changes in mental status  7. Respiratory arrest, then cardiac arrest can develop
  • 6. Prevention and Care for Shock  1. Alert 911/EMS dispatcher.  2. Perform scene size-up.  3. Perform initial assessment. (Keep patient's airway open and prevent forward tilting of head.)  4. Assist the patient in lying down and explain importance of remaining at rest.  5. Control external bleeding and splint fractures.  6. Keep patient warm but do not overheat.  7. Properly position patient.  8. Give the patient nothing by mouth.  9. Monitor vital signs.  10. Provide oxygen per local protocols.
  • 7. Fainting  1. A mild form of shock that is usually self- correcting  2. Examine the patient for injury and keep him lying down.  3. Check blood pressure if you have the equipment.  4. May be a warning sign of more serious problems; assess and take a careful history.  5. Prevent fainting by having patient lower head between knees.