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Wilderness

First Aid

Shock

Shock

Signs & Symptoms:

Early:

LOC:     Anxious, restless, disoriented

HR:        Rapid, weak and, thready

RR:        Rapid and shallow

SCTM:  Pale, Cool and clammy (may be pink and warm with vasogenic shock)

Symptoms:  Patient may feel nauseated and may vomit, and

                    may complain of dizziness and/or thirst.

Late:

BP:        Falls, Radial pulse weakens and eventually disappears

Pupils:  Progressively slower to respond

Treatment:

Don’t wait for shock.  Treat before serious signs develop

Look for and treat underlying causes

Reassure the patient, keep them physically and emotionally calm,

maintain AIRWAY

Keep patient warm

Keep the patient flat with legs elevated no more than 12 inches when appropriate

Administer fluids orally if care is extended and the patient can tolerate them.

Monitor the patient closely for deteriorating vital signs.

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