First Aid Knowledge


Shock 

1. Shock is the condition in which blood flow, oxygen & nutrient substances to the tissues are inadequate for the normal functioning of cells, resulting in subsequent functional failure of organs.

Causes

There should be adequate supply of oxygen & nutrient substances to the cells for maintaining normal function of cells. To maintain this function, three major parts of the circulatory system are in constant balance:

  Heart - Beats at an adequate rate & force to supply the system with blood
  Blood - Sufficient blood to be pumped
  Vessels - Maintains the tone of the blood vessels

When any one or all three of these parts are affected by trauma or a medical condition, the supply of blood to the tissues is reduced & shock occurs.

2.  Clinical Features

  (1) Pulse fast & weak.

  (2) Pale-looking, clammy & cold skin.

  (3) Breath shallow & rapid, feeling hungry for air.

  (4) Feeling feeble, dizzy or restless.

  (5) Thirsty, nauseous & may vomit.

  (6) Restless.

  (7) Dropping in blood pressure.

3. Treatment

  (1) Lay the casualty supine & maintain an open airway.

  (2) Eliminate the cause of shock.

  (3) Raise legs to improve blood flow to the heart & brain (except for low-limb fracture).

  (4) Loosen his tight clothing & keep him warm.

  (5) Ventilate the scene & provide oxygen therapy if necessary.

  (6) Do not give the casualty anything by mouth.

  (7) Reassure the casualty.

  (8) Send him to hospital as soon as possible.


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2004| Important notices Last revision date: 7 May 2004