2015 Trumbull Memorial Hospital Demo

Non-Traumatic Shock Non-Traumatic Shock

Non-Traumatic Shock could present with dizziness, pale, cool, clammy skin, anemia, and orthostatic hypotension.

Universal Patient Assessment

Oxygen Titrate SpO2 to 94%

Consider Rapid Transport

Cardiac Monitor 12-Lead ECG If EMT or STEMI, transmit

Non-Traumatic Shock could have origins that are cardiac, immunologic, obstructive, or resulting from dehydration.

Adult IV/IO

Epi Push-Dose Conversion Once mixed properly to 10 mcg/mL, this is the conversion: Every 2 Minutes  0.5mL q 2 min = 2.5 mcg/min  1mL q 2 min = 5 mcg/min  1.5mL q 2 min = 7.5 mcg/min  2mL q 2 min = 10 mcg/min Every 5 Minutes  1mL q 5 min = 2 mcg/min  1.5mL q 5 min = 3 mcg/min  2mL q 5 min = 4 mcg/min

Fluid Bolus 1000mLNormal Saline if lung sounds are clear.

Maintain SBP 90 mmHg

Still hypotensive

Repeat Fluid Bolus 1000mLNormal Saline if lung sounds are clear.

Still hypotensive

Repeat Fluid Bolus 1000mLNormal Saline if lung sounds are clear.

Still hypotensive

If systolic BP < 80 mmHg and you suspect anaphylactic, spinal, or septic shock: Epinephrine Push-Dose Pressor 0.5-2 mL every 2-5 min

15

EMR

EMT

AEMT

Paramedic

Extended