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Shock

Shock is a life-threatening condition that occurs when the body is not getting enough blood flow. Lack of blood flow means the cells and organs do not get enough oxygen and nutrients to function properly. Many organs can be damaged as a result. Shock requires immediate treatment and can get worse very rapidly. As many 1 in 5 people who suffer shock will die from it.

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Shock

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Considerations

The main types of shock include:

Causes

Shock can be caused by any condition that reduces blood flow, including:

Shock is often associated with heavy external or internal bleeding from a serious injury. Spinal injuries can also cause shock.

Toxic shock syndrome is an example of a type of shock from an infection.

Symptoms

A person in shock has extremely low blood pressure. Depending on the specific cause and type of shock, symptoms will include one or more of the following:

First Aid

Take the following steps if you think a person is in shock:

IF THE PERSON VOMITS OR DROOLS

Do Not

In case of shock:

When to Contact a Medical Professional

Call 911 any time a person has symptoms of shock. Stay with the person and follow the first aid steps until medical help arrives.

Prevention

Learn ways to prevent heart disease, falls, injuries, dehydration, and other causes of shock. If you have a known allergy (for example, to insect bites or stings), carry an epinephrine pen. Your health care provider will teach you how and when to use it.

Related Information

Cardiogenic shock
Hypovolemic shock
Anaphylaxis
Septic shock
Low blood pressure

References

Puskarich MA, Jones AE. Shock. In: Walls RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018:chap 6.

Rivers EP. Approach to the patient with shock. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 106.

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Review Date: 10/16/2017  

Reviewed By: Jesse Borke, MD, FACEP, FAAEM, Attending Physician at FDR Medical Services/Millard Fillmore Suburban Hospital, Buffalo, NY. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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