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Cardiogenic Shock for EMTs | EMS Training Guide

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Cardiogenic shock is a life-threatening condition that occurs when the heart itself is unable to pump effectively, leading to poor perfusion and organ failure.

In this EMT shock training video, you’ll learn:

Definition: shock caused by failure of the heart’s pumping ability

Causes: heart attack (MI), cardiomyopathy, trauma, arrhythmias, CHF

Key signs & symptoms:

Hypotension despite adequate volume

Tachycardia

Crackles (rales) in lungs from fluid backup

Jugular vein distension (JVD)

Cool, clammy extremities

Scenario practice:

65-year-old male, recent MI, shortness of breath, hypotension, tachycardia, lung crackles, JVD → Cardiogenic Shock

Quick tip for the NREMT: crackles/rales + hypotension in a cardiac patient almost always = Cardiogenic Shock

👉 Mastering shock recognition is essential for passing the NREMT exam and for making rapid, lifesaving decisions in EMS.

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