Ladies and gentlemen, it is time to crack the door to a vast and terrible realm.
It won’t be a short journey, and it won’t be an easy one. But it is our destiny.
What am I talking about? I’m talking about shock, of course.
Prehospital providers don’t understand shock. That’s understandable — because shock is complicated. It’s as complicated as disease processes get.
But we need to understand it. Shock is quite literally in our blood. Since the very birth of EMS, reducing the harm associated with shock states has been one of our main reasons for existing. It kills many, it debilitates many more, it spares no age, race, or gender, and its physical effects are exhaustively widespread. Yet when properly managed, many of those patients can be saved.
We should all be experts. To work in EMS is to be, among other things, a shock technician. This is our wheelhouse.
So, although it will take more than a few posts to walk through the different facets of this Very Big Topic, let’s talk about shock.
Sharpen your pencils, gird your loins, and stand by for further.