Psychogenic shock is basically fainting in a nutshell, caused by major psychological or emotional stress.

Anaphylactic shock is when someone has an extreme allergic reaction.

Septic Shock results from an infection that has spread throughout the patients body and results in pipe failure.

Neurogenic shock may be from a patient who has sustained spinal cord injury.

I would treat shock my positioning the patient in a supine position, control their body temperature, blanket if cold, try to cool them off if hot. Maintain their ABCs. Control the bleeding, if neccessary. And try to keep the patient calm by talking to them. I would continue to monitor vitals and reassess every 5 minutes until transport gets there.

• Cardiogenic

• Psychogenic

• Anaphylactic

• Septic

Cardiogenic shock is caused by the heart’s inability to pump an adequate amount of blood to the body.

Psychogenic shock is the least serious and is typically known as fainting. It’s caused by the body’s response to a major psychological or emotional stress.

Anaphylactic shock is an extreme allergic reaction. Think bee sting or someone eating shellfish.

Septic shock is when blood vessels dilate and become porous. Blood pressure drops dramatically resulting from sever infections.

To treat for shock:

• Position the patient correctly

• Maintain the patient’s ABC’s

• If possible, treat the cause of shock

• Maintain the patient’s body temperature using blankets

• Don’t allow the patient to eat or drink anything

• Assist with other treatments (IV, O2, etc)

• Arrange for immediate transportation to medical facility.

Cardiogenic Shock is when the heart cannot pump enough blood. This can cause Congestive Heart Failure.

Psychogenic Shock is better known as fainting. It is the least serious type of pipe failure. Usually a response to emotional stress or a psychological response when unexpected or traumatizing news is received. Even though it is the least serious, the patient still needs checked out to be sure of no injuries caused by the fainting. Psychogenic shock is one that you might have the decision to not need prompt transport but still make sure to take vitals and monitor for any worsening of condition.

Anaphylactic Shock is a severe allergic reaction with a fast onset of symptoms. Death can come quick due to the potential of the airway closing. If available an Epi pen should be used to help the patient. As an EMR we are only able to assist a patient unless otherwise certified.

Septic Shock is the bodies response to a large infection in the body. This one can cause organ failure due to blood vessels becoming leaky.

Neurogenic Shock is caused when a person has a spinal injury. This particular shock often doesn't have the same symptoms as the others. The skin may not appear cool or sweaty. The heart rate is typically not elevated and often times will actaully be decreased due to the spine being damaged.

Hypovolemic Shock is caused by fluid loss, it can be caused by dehydration or vomiting but most often from excessive bleeding either internal or external. Internal bleeds can't be controlled necessarily out in the field but the external bleeding should be controlled; use of direct pressure, tourniquet, or elevating the bleeding area if possible.

The main things to keep in mind when treating any type of Shock is our ABC's; Airway, Breathing and Circulation. Every 5 minutes we have to be sure to check vitals.

Positioning the patient is important. Most often the patient will need to lay down with legs elevated if no spinal injury. The only time you wouldn't want lay them down is if the patient has chest pain or difficulty breathing, this could mean the patient has fluid around or in the lungs and laying them flat could cause them to essentially drown/suffocate in their own body fluids. Those patients you would want to sit up or semi recline to maintain their breathing.

All shock patients need to be kept comfortably warm. Maintaining body temps is difficult since it is the circulatory system having problems.

Don't let a shock patient eat or drink due to the nausea and also there is always a potential they will need surgery and shouldn't have anything in their stomach for their own safety if surgery does have to happen.

High flow oxygen needs to be given. The pale skin, shallow rapid breathing and the weak pulse all suggest that the body needs help with getting the blood oxygenated. If ALS arrives they may need assistance with starting IV fluids as well.

Expect with most shock patients to call in for Prompt transport, the sooner they get to the hospital the better their chances of surviving becomes!

Septic: shock caused by bacterial infection

Neurogenic: shock caused by suddenly traumatic mental/emotional state

Cardiogenic: caused when the heart cannot pump enough blood to supply the body

All shock patients are treated the same way.

1. Lay them down with elevated feet.

2. Maintain airway and nonrebreather O2 and or BVM.

3. Keep them warm.

4. Closely monitor until ALS arrives.

treatment is as follows, 1) position them correctly (not allowing them to stand) 2) protect the ABC of the patient 3) treat the cause if possible 4) surround the patient on all sides with blankets 5) do not let the patient eat or drink anything 6) assist with other treatments such as O2 if available 7) finally arrange for immediate transportation to the hospital.

Cardiogenic shock is when the heart can't pump adequately and may be a result from a heat attack. Insufficient pumping can cause blood to back up in the lungs and vessels causing congestive heart failure.

Psychogenic shock can be caused by a significant amount of stress to the body and cause fainting. This is the least severe type of shock.

Anaphylactic shock is a severe allergic reaction to foods, insect venom, or certain medications. The patient could develop severe hives, rashes, swelling in different parts of the body and could affect the airway negatively. Assisting with an Epi pen would be the best way to treat the patient.

Septic shock is caused from a serve infection that has made its way throughout the whole body. Patients with this type of shock must be transported to a hospital so they may intervene and take care of the infection.

Neurogenic shock is caused by a spinal injury. Blood will collect below the sight of the injury and will starve the heart, brain, lungs and other major organs of blood.

I would treat shock by first making sure the patient is positioned correctly depending on specific injuries, maintain ABC's every 5 minutes. If bleeding externally I would control the bleeding by the necessary means. I would try and keep them warm by applying blankets underneath or around the patient to keep body heat in. I would not allow any eating or drinking due to the patients potential to choke or vomit, or they may need emergency surgery. I would apply supplemental oxygen via a nonrebreather. Lastly, I would arrange for transport and when ALS arrives provide a thorough hand off.

Cardiogenic Shock- This is when the heart can't pump enough blood for what the body needs.

Psychogenic shock- This is the body's response to emotional stress and the capillaries are 3-4 times their normal size.

Anaphylactic Shock- This is an allergic reaction to foreign substances or foods.

Septic Shock- This is pipe failure from an overwhelming infection throughout the body.

I would first start out by checking for scene safety and PPE. after that I would start going through my ABC's and make sure the patient is positioned correctly or is in a comfortable position with the legs raised up. when the patient is in shock they might be pale or might have a shallow pulse so high flow oxygen may be needed. To treat the shock I would put pressure on the wound area if there is one until ALS arrives since the hospital does most of the shock treating. If the patient is cold I would put a blanket on him or her to keep a regular body temp.

I would treat this by controlling the bleed^{. then doing what i can to keep the patient calm and warm. laying them in the supine position and raising their legs above their heart level.}

Psychogenic Shock- The body's response to a major psychological or emotional stress.

Anaphylactic Shock- caused by an extreme allergic reaction to a foreign substance.

Septic Shock- Pipe failure that is the result of an infection that has spread.

Treatment:

I would make sure the patient is positioned correctly. If there is no head injury, difficulty breathing or discomfort, the patient needs to be placed on their back, elevated legs, with a blanket. Next, you want to make sure that airway, breathing, and circulation (ABC's) is stable. Once ALS arrives, then the patient needs to go to the hospital for additional care.

-Cardiogenic

-Psychogenic

-Anaphylactic

-Septic

Cardiogenic: heart loses the ability to pump enough blood throughout the body

Psychogenic: Usually when someone experiences a traumatic event or receives traumatic news.

Anaphylactic Shock: Happens when someone has a severe allergic reaction. Use an Epi pen if available and trained to do so.

Septic: This is a response to an infection within the body, this infection can result in organ failure.

Treating for Shock:

1. Position patient laying down with legs elevated.

2. check ABC's

3. Administer oxygen if needed

4. Keep patient warm

5. Arrange for prompt transport.

There is cariogenic shock where the heart is weak. Typically weakened from a heart attack.

Treatment by monitoring ABC's, maintain a good body temp, no eating and drinking, don't move the patient unless you absolutely have to, High flow O2 and prompt transfer.

There is psychogenic shock. Described as fainting. Normally from major psychological or emotional stress.

Treatment by monitoring ABC's, Maintain body temp and provide reassurance

There is anaphylactic shock from an allergic reaction and is a very quick onset.

Treatment by monitoring ABC's, administer or assist the patient with Epinephrine auto injector and rapid transport

There is septic shock because of an overwhelming infection.

Treatment by monitoring ABC's and prompt transport to the hospital.

There is neurogenic shock which is people with a spinal injury. Treat by ABC's and the use of a back board, maintain a good body temp and transport to hospital. This shock doesn't present itself the same as others

Scene Safety & PPE Along With Prompt Transport For ALL!

Hypovolemic Shock- Caused by fluid loss.

I would treat by laying patient down & elevating legs unless it would cause further blood loss. Maintain ABC with high flow oxygen or BVM depending on if the patient is unconscious. I'd Use a blanket for cool clammy skin while monitoring vitals every 5 minutes, & insure I have a gown ready for my PPE as well as CPR skills ready. If it is internal I would do the same.

Cardiogenic Shock-Heart is having trouble pumping blood to the body.

I would Sit the patient how it is most comfortable to them. Id Maintain airway high flow oxygen, BVM Or CPR if necessary, not in any particular order just whatever is called for first. I'd use my handy shock blanket for cold clammy skin, to maintain body temperature explain to my patient that he/she should not move.

Anaphylactic shock-Your patient is having an extreme allergic reaction to a foreign substance.

Treatment would be to help assist the patient in taking there epinephrine insuring to follow protocols, ALWAYS! I would maintain ABC's insuring that I prep for use of BVM &/or CPR skills. I would also use a shock blanket in this case or fan the patient if they were too hot.

In all of these examples I would most definitely reassure my patients & call for extra hands, if need be. These are the three types of shock of many that stood out to me the most. Each one has their own specialize treatment to them and it is important to get familiar with all of them!

Psychogenic- major phycological or emotional stress. Can be treated usually by placing patient in horizontal position.

Anaphylactic- extreme allergic reaction. Can be treated with epinephrin.

Septic- Overwhelming infection.

General treatment for shock is going to be Position the patient, ABC, Treat the cause, maintain body temp, give oxygen if needed, transport to hospital.

Remember to never have a shock patient stand.

Each type of shock can be treated the same way: positioning the patient correctly (may differ if injuries occurred or difficulty breathing is present), maintain the ABC's (and checking every 5 minutes), treating the cause of the shock if applicable, keeping the patients body heat elevated (planets/ice packs), no food/drink, oxygen or other medical care if necessary, and prepping and assisting ALS in patient transport.

Cariogenic shock is caused when the heart is damaged and unable to supply enough blood to the body

Hypovolemic shock this is caused by severe body by fluid loss from trauma.

Obstructive shock This is an obstruction which prevents enough blood to fill the heart.

Septic shock is bacteria. Multiply in the blood and releasing toxins and making you sick

Anaphylactic shock this is caused from a severe allergic reaction in the body start shutting down

Neurologic shock is caused by trauma to the spinal cord the loss of sympathetic control causes the vessel wall to relax

Psychogenic shock is caused by fear or stress and causes bradycardia, and vasodilation quickly lowering blood pressure, causing the body to shut down

Respiratory shock is caused by poor ventilation or instruction to the airway and pulmonary system

Metabolic shock is from pre-existing diseases, such as kidney disease, obesity, type one and two diabetes and

liver disease

4 types of shock.

-anaphylaxis- alergic reaction.

cardiogenic- heart is not pushing blood to the body properly

-neurogenic- usually caused by some form of trauma.

-septic- when our bodys cant fight off an infection properly.

Shock treatments are all the same just making sure the patient is kept warm and we are assisting with air whether it be a Bvm or high flor o2 and monitoring the abc's closly until als arrives.