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Perform First Aid

to Prevent or ControlShock

AWT 081-831-1005

CW2 R. Mandell

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Condition: You see a casualty who is breathing,

and has one or more symptoms of shock. You willneed a field jacket and blanket or poncho.

Standards: Attempt to pervent a casualty from

going into shock by correctly positioning the

casualty, loosening binding clothes, calming and

reassuring the casualty, and providing shade from

direct sunlight during hot weather, or covering toprevent body heat loss during cold weather. Do not

cause further injury to the casualty.

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INTRODUCTION

There are several causes of shock. On thebattlefield, hypovolemic (low bloodvolume) shock will be the primary type of

shock present. If not properly treated,shock can result in death.

Hypovolemic shock is usually caused bysevere bleeding, but it can also be caused

by a severe loss of body fluids from severeburns, vomiting, or diarrhea and fromexcessive sweating caused by a heatinjury (heat exhaustion).

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Performance Step #1

1. Sweaty but cool skin

2. Paleness of skin

3. Restlessness, nervousness

4. Thirsty

5. Severe bleeding

Check for Signs and Symptoms of Shock:

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Signs and Symptoms of Shock(Continued)

6. Confusion (does not seem to be aware

of surroundings)

7. Rapid breathing

8. Blotchy or bluish skin (especially

around the mouth)

9. Nausea

10. Vomiting

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Performance Step #2

Position the Casualty: a. Move the casualty to cover, if cover is available

and the situation permits.

b. Lay the casualty on his/her back unless a sitting

position will allow the casualty to breath easier.

c. Elevate the casualtys feet higher than the heart

using a stable object so the feet will not fall.

WARNING:

If the casualty has an unsplinted fractured or broken leg, an abdominal wound, or

a head wound, do not elevate the casualtys legs.

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Elevate Feet

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Performance Step #3. Loosen clothing at the neck, waist, or

anywhere it is binding

Performance Step #4

Prevent the casualty from getting chilled oroverheated.

a. Cover the casualty to avoid loss of body heat

and, in cold weather, place cover under as well

as over the casualty. Use a blanket or clothing, or

improvise a cover.

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CASUALTY BEING TREATED FOR SHOCK IN COOL

WEATHER

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Performance Step #4

Prevent the casualty from getting chilled

or overheated. (Continued)

b. Place the casualty under a permanent

or improvised shelter in hot weather to

shade him/her from direct sunlight.

WARNING:

Do not give the casualty anything to eat or drink.

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Performance Step #6

Watch the casualty closely for life-

threatening conditions and check for

other injuries, if necessary.

. Seek medical aid.

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QUESTIONS??