TAILIEUCHUNG - Lecture Mosby's paramedic textbook (4th ed) - Chapter 36: Shock

This chapter include objectives: Identify the purpose of the patient care report; describe the uses of the patient care report; outline the components of an accurate, thorough patient care report; describe the elements of a properly written emergency medical services (EMS) document; describe an effective system for documenting the narrative section of a prehospital patient care report;. | 9/11/2012 1 Chapter 36 Shock 2 Learning Objectives • Define shock. • Outline factors necessary to achieve adequate tissue oxygenation. • Describe how the diameter of resistance vessels influences preload. 3 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 1 9/11/2012 Learning Objectives • Calculate mean arterial pressure when given a blood pressure. • Outline changes in the microcirculation during the progression of shock. 4 Learning Objectives • List the causes of hypovolemic, cardiogenic, neurogenic, anaphylactic, and septic shock. • Describe pathophysiology as a basis for signs and symptoms associated with the progression through the stages of shock. 5 Shock • Defined by Gross in 1850 – “Rude unhinging of the machinery of life” • Robert M. Hardaway, professor of surgery at Texas Tech University School of Medicine in El Paso, Texas – I believe that the best definition of shock is inadequate capillary perfusion. As a corollary of this broad definition, almost anyone who dies, except one who is instantly destroyed, must go through a stage of shock—a momentary pause in the act of death 6 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 2 9/11/2012 Shock • Shock is not single event – Does not have one specific cause and treatment • Complex group of physiological abnormalities • Many complexities involved in shock, not adequately defined by pulse rate, blood pressure, cardiac function 7 Shock • Causes – Healthy patient (adult) • • • • • • • • • • Coronary syndromes Respiratory arrest Anaphylaxis Drowning Traumatic hemorrhage Spinal cord injury Electrocution Hypothermia Toxic exposures Pulmonary embolus 8 Shock • Causes – Unhealthy patient (adult) • • • • • • • • Congestive heart failure Renal failure Uncontrolled hypertension Uncontrolled diabetes Obesity Electrolyte imbalance Drug toxicity Stroke 9 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend .

• Y học thường thức
• Mosbys paramedic
• Mosbys paramedic textbook
• Medical terminology
• EMS systems
• EMS system development
• Current health care reform
• Well‐being of the paramedic
• Physical fitness
• Components of wellness
• Injury prevention
• Public health
• Injury epidemiology
• Importance of documentation
• Elements of EMS documentation
• Emergency medical services
• EMS communications
• Roles of communications
• Phases of communication
• Medical legal issues
• Legal system
• Immunity statutes
• Professional accountability
• Medical ethics
• Personal ethics