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First Aid: Shock

Call 911 at the first sign of shock.

Shock occurs when the bodys supply of oxygen-carrying blood to vital organs decreases. Without enough oxygen to fuel its parts, the body can't function properly and death may occur. In many cases, first aid can only slow the progression of this life-threatening condition.

Signs of Shock

  • The skin or the pink tissue inside the lower lip may turn pale.

  • The skin may feel cold and damp.

  • The pulse may be so light or race so fast that you can't count the beats.

  • The victim may be confused or unable to concentrate or may stare blankly. Over time, the victim may even become unconscious.

1

Treat Threats to Life

  • If victim is unconscious but breathing, position the head and neck to keep the airway open.

  • Perform rescue breathing or CPR, if needed.

  • Control any severe bleeding to help keep shock from worsening. (Wear gloves or use other protection to avoid contact with victim's blood.)

2

Care for Shock

  • Place victim on his or her back with both feet raised about 12 inches, helping to send blood to the heart, lungs, and brain. (Do this only if there are no possible broken bones or possible hip, back, or head injury.)

  • Cover victim to maintain body temperature only.

  • Keep victim quiet. Speaking uses oxygen and worsens the effects of shock.

  • Do not give the victim anything to eat or drink.

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Publication Source: Parrillo JE, Cecil Medicine, 23rd ed., Chapter 102 - Approach to the Patient with Shock, 2007, pp 742-750
Online Medical Reviewer: Keyes, Linda MD
Date Last Reviewed: 6/1/2005
Date Last Modified: 6/1/2005