Shock. Health care

FUNDAMENTALS OF FIRST AID
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Shock. Health care

Fundamentals of First Aid (OPMP)

Shock - a life-threatening condition resulting from mental shock or physical damage.

Cardiogenic shock develops when the heart is damaged (myocardial infarction, toxic lesions, etc.) due to a decrease in cardiac output and a violation of the contractile function of the heart.

Symptoms. Arterial pressure (systolic and diastolic) decreases sharply, there is a violation of consciousness (lethargy), pallor occurs, body temperature decreases. The severity of symptoms may vary.

First aid

Anesthesia (analgin, baralgin, etc.).

Increase in blood flow to the heart by raising the patient's legs by 15-20°.

When the heart and breathing stop - artificial ventilation of the lungs and heart massage.

Call for an ambulance.

Traumatic shock - pathological response to injury with hemodynamic disturbance (decrease in the volume of circulating blood as a result of bleeding). Fluid with a large blood loss begins to move from the tissues into the bloodstream. Extracellular and then cellular dehydration occurs.

Signs. Initially, patients are excited, then inhibited. Consciousness is preserved. The skin is pale. The condition can be of varying severity (grade 1-4). At grade 4, the condition is extremely severe, consciousness becomes confused and fades away, there is a decrease in blood pressure (systolic - below 60 mm Hg), pulse 140-160 beats per minute.

First aid

It is necessary to stop bleeding (if possible) by applying tourniquets, tight bandages; tamponade of a bleeding vessel, etc.

Call a special anti-shock ambulance team.

Authors: Aizman R.I., Krivoshchekov S.G.

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