Title: Lesson 11-1 Shock and Resuscitation
Course: EMS 1119 Emergency Medical Technician > Section: Module XI Shock and Resuscitation

Overview Module XI Shock and Resuscitation

This module will rely quite heavily on your understanding of the cardiovascular system and the maintenance of blood pressure. Please review those sections in your textbook if needed.

Shock is a condition that potentially can affect every patient that you come in contact. Regardless of whether you’re dealing with a medical emergency or a trauma situation (even minor injuries or isolated), patients can experience shock. This textbook and others describe shock and/or categorize it by multiple types, as many as 10 or 12. Essentially, you can describe shock as a failure of one of three systems: Failure of the pump (heart), the pipe (blood vessels), or the fluid (blood volume).

As you read through the chapter, review the video and other exercies, develop your own definition of shock. Pay special attention to the anatomy and physiology of the cardiovascular and respiratory system.

What is of utmost importance is that you understand that shock is a syndrome that is defined by the presence of a group of signs and symptoms that when you detect them as an EMT, it may be too late! Suspicion, early warning and treatment are important. Rely on your understanding of MOI and NOI to determine the potential for shock and how it may manifest in your patient. Always remember that shock is secondary to something else!

At the end of this lesson and the associated lab activities students will be able to:

Cognitive Learning Objectives

- 11-1.1 Discuss withholding resuscitation if irreversible death is obvious or if a “Do Not Resuscitate” (DNR) is present
- 11-1.2 Review the anatomy & physiology of the respiratory & cardiovascular systems
- 11-1.3 Discuss, identify pathophysiologies & medical care for respiratory failure as well as respiratory and cardiac arrest
- 11-1.4 Explain the system components of CPR, the four links in the AHA chain of survival & how each one relates to maximizing the survival of the patient
- 11-1.5 Show Provider (AHA guidelines) certification required prior to EMT program competition as per FS 401.27
- 11-1.6 Understand shock, including the pathophysiology, causes, and its signs and symptoms associated with the various types of shock
- 11-1.7 Discuss patient assessment and steps to the emergency care of the patient with signs & symptoms of shock
- 11-1.8 Discuss and distinguish the variations & causes between the emergency medical care of the infant, child, adult and geriatric patient experiencing shock

Affective Objectives

- No affective objectives identified

Psychomotor Objectives

- 11-1.1 Demonstrate a patient assessment and management of the patient with signs & symptoms of shock

Psychomotor Skills

- Bleeding Control Shock Management.pdf

Readings

- AAOS 10e, Chapter 12: pp. 453-458
- Limmer 12e, no related chapter
- Chapters with relevant content:
AAOS 10e, Chapters 12-21
Limmer 12e Chapters 2, 19-26

Online Video

Your instructor will recommend which videos to view for this lesson. All videos are valuable resources. Students may wish to view more to enhance their learning.

- Different Types of Shock (2:01)
https://www.youtube.com/watch?v=h6ePkDGogT0 ACLS123.com
Comments: This is a short high-level overview of the fundamental categories of shock. The animations are helpful to visualize the physiology invoked as you review and refresh you understanding of the structure and function of the cardiovascular system.

- EMT: Overview of Shock (36:04)
https://www.youtube.com/watch?v=YWRRITkjm48 WCTCEMS
Comments: This short lecture/slide presentation developed to accompany the National Standard EMT Curriculum. This material will closely follow the content and objectives found in your course. This is supplemental material.

- Shock Explained Clearly! (16:20)
http://www.youtube.com/watch?v=CbM4UihE1TQ
MEDCRAMVideos Roger Sheeult, MD
Comments: Shock Explained Clearly is an ADVANCED lecture. However, it explains the concept and physiology very well and outlines the bodies response and treatment (part 2 below).

- Shock Treatment Explained Clearly! (18:50) MEDCRAMMvideos
http://www.youtube.com/watch?v=PrkNmVPI9sc
Roger Sheeult, MD

- Shock (45:52)
https://www.youtube.com/watch?v=VLbc66Zf2MM

Supplemental Reading

- Assessing the Accuracy of the Signs of Shock.pdf
2014;31(1):35–40