1. Shock and Bleeding in the Trauma Patient
April Morgenroth RN, MN

2. Shock Defined
Shock: A state where the body’s organs are not sufficiently perfused with oxygenated blood.

3. Key Points
Remember: Hypoperfusion= oxygenated blood not getting where it needs to go
Blood is driven by pressures
Pressure = amount of stuff in a given space

4. Battlefield Awareness: Recognizing Shock
Types of Shock: Distributive: Neurogenic Septic Anaphilactic Cardiogenic: MI, Cardiomyopathy, tampenade Hypovolemic Relative vs. Absolute

5. Distributive Shock Insult Vasodilation Same Stuff/ More Space
Hypotension

6. Causes of Distributive Shock
Neurogenic:
Head injuries
Spinal Cord injuries
Pain and drugs
Septic:
UTI
SIRS
Bacteremia
Anaphylactic
Bee stings
Drugs
Foods

7. The Circulatory System Review
The circulatory system facilitates the transportation and exchange of oxygen, carbon dioxide, and nutrients.
Blood
Red blood cells: Carry oxygen to cell and carbon dioxide away from cells
White blood cells: Play a role in fighting infection and protecting the body against pathogens
Platelets: Help the body form clots to repair damage done to the blood vessels.