Sunday, July 31, 2016

16 Types of human shock

Are you ready for another day of EMT training? Isn't there just one form of shock. There something not right in the body or a person has loss too much blood, so the body goes into shock? Not only are there sixteen different forms of shock but there are five different categories. They are Hypovolemic, Cardiogenic, Distributive, Metabolic/Respiratory, and Obstructive.

Hypovolemic
Shock through hemorrhagic or nonhemorrhagic such as a burn patient. This is caused by low blood volume or loss of other body fluids.

Distributive Shock
This type of shock can be septic, neurogenic and anaphylactic. It's a reduction of volume in an enlarged vessel.

Metabolic/Respiratory
From disturbances in oxygen diffusion, carrying, off loading, or use by cells.

Cardiogenic
From MI - Depressed pump function
From CHF - Abnormal rhythm
From beta blockers and calcium channel blockers

The sixteen types of shock are:
Hemorrhagenic - bleeding profusely

Nonhemorrhagic

Multiple Injuries

Depressed pump function

CHF - Cardiac Heart Failure

Abnormal rhythm

Septic shock - Infection

Neurogenic

Anaphylactic - Allergic reaction to food, bee sting, etc.

Beta Blockers

Calcium channel blockers

Tension Pneumothorax - when a lung or chest wall injury is such that it allows air into the pleural space but not out of it

Pulmonic Embolism

Pericardial Tamponade

Burn shock

 

The horrible cycle of abuse

You can agree with me or agree against me. I just feel that as a person who works in the EMS field, it is our duty to educate people about medical illness, accidents, and emotional trauma. Time and time again, I have seen this horrible cycle of events take over peoples lives. Abuse is abuse. No longer is it man against woman. It is human being against human being.

Abuse
A physical or verbal form of violence that is committed against another person.

Guilt
The abuser feels guilty about getting caught or the consequences

Excuses
The abuser will shift blame, make excuses, or rationalize his/her actions

Honeymoon
The abuser becomes the perfect partner. He/She will do or say anything to keep the other person in the relationship.

Planning
The abuser begins to feel like he/she is losing control and will begin to plan how to get that control back. 

Set-Up
The abuser will wait for a time to set their partner up.

Why did I post this on my EMS blog? I hope it will open someones eyes and help them see the truth about abuse. No one should have to experience this in their life. If you are in an abuse relationship, I hope that you begin to make plans to get out of the relationship. Talk to someone, talk to anyone, friend, priest, coworker, Police Officer, Nurse, Emergency Medical Technician, anyone.

Being an EMT and working with Police

Do EMT and the Police Department work well together? I want to describe situations in which EMT and Paramedics may be mandated to make a report to the Police Department. This could be suspected abuse, suspected crime, or even a dog bite. If you are not 100% sure, always follow the protocol of the city you are working in.

Abuse
This can include child abuse, elderly abuse and spousal abuse. Remember that the abused party is not always female.

Crime
Many states require EMS to report an injury resulted from a crime. Gunshot wounds, knife wounds, suspicious burns, poisonings or sexual assaults.

Other things that an EMT might have to report are:
Infectious diseases
Use of patient restraints
Mental Incompetence
Intoxication
Suicides
Dog Bites

What is an AED and who it is not for!

The goal is to deliver the defibrillation within the three minutes from the onset of ventricular fibrillation. So not use on trauma patients due to the fact that the cardiac arrest is more likely to have been resulted from the trauma that the patient occurred.