Managing Shock in EMS

In this video Sean Haaverson discusses traumatic shock management for trauma patients in shock to be managed by EMS, EMT's, AEMT's/ EMT-I's and Paramedics. This video is part of a lecture series on shock for the CNM Paramedic Program. Based on the PHTLS 9th Edition.

This lecture reviews the major intravenous (IV) fluid types and how they relate to trauma patients in shock, including:
-Isotnoic crystalloids like normal saline and lactated ringers solution
-Hypertonic crystalloids like hypertonic saline 3.5% and 7%
-Hypotonic crystalloids
-Dextrose solution in water
-Colloids including hetastarch
-Blood products like PRBC's, whole blood, plasma and lipophilized plasma
-Blood substitutes including PFC's and animal based hemoglobin-based oxygen carriers

Additionally, a review of the latest PHTLS fluid management and perfusion goal algorithms are reviewed for CNS and spinal cord injuries, controlled hemorrhage, and uncontrolled hemorrhage with permissive hypotension.

Note: Specific treatment for neurogenic shock is discussed more completely in the spinal trauma lecture and for cardiogenic shock in the thoracic trauma lecture.

The last few moments of the lecture review considerations of traumatic arrest and cardiopulmonary resuscitation in trauma.

This video is for educational purposes only as part of an EMT Paramedic training course.