Shock

Shock is defined as a complex, life threatening condition characterized by inadequate blood flow to the tissues and cells of the body. Shock is a complex clinical syndrome that may occur at any time and in any place.

Treatment should be started for shock whenever at least two of the following three conditions occur

·        Systolic BP 80mm hg or less

·        Pulse pressure of 20mm hg or less

·        Pulse rate of 120 or more

Classification of Shock  

·         Distributive shock

·         Anaphyalactic shock

·         Neurogenic shock

·         Septic shock

·         Cardiogenic shock

·         Hypovolaemic shock

Emergency Management

·        Establish and maintain airway, anticipate need for intubation

·        Administer high flow humidified oxygen

·        Maintain cervical spine precautions if needed

·        Monitor vital signs , level of consciousness and cardiac rhythm

·        Establish IV access with two large guage catheter and administer IV fluids

·        Assess for external bleeding sites

·        Assess for life threatening injuries