1. Shock: A Life Threatening Emergency Result of circulatory system failure –Inadequate blood flow to some part of the body A MAJOR CAUSE OF DEATH !!!

2. Shock #2 Always treat victims for shock Shock: can be prevented cannot be reversed

3. Types of Shock Cardiogenic –Heart failure Neurogenic –Spinal cord damage –Drug overdose –Vessels dilate –Blood supply insufficient to fill vessels

4. 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

5. 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

6. 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

7. Shock: When To Place In A Half Sitting Position –Difficulty breathing –Head injuries (when appropriate) –Strokes –Chest injuries –Penetrating eye injuries –Heart attack

8. 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

9. 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

10. Characteristics of Anaphylaxis #2 –Increased pulse rate –Swollen face, tongue, mouth –Nausea and vomiting –Dizziness –Blue around lips and mouth

11. 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