FC1-Shock

500ml Hextend results in

800ml of intravascular fluid expansion (effect can be maintained around 8 hours)

Perfusion of vital organs can be maintained with a systolic BP of

80mmHg

Order of importance of tissues in shunting

Brain, heart, lungs, kidneys

When would a combat medic use a ResQGARD

Combat medic does not have time, supplies, or equipment to gain vascular access

How much blood can the casualty loose before BP drops?

around 1500-2000mL

When does a casualty's blood pressure drop?

blood loss of atleast 1500-2000ml or more (sign of impending death) (decompensated shock)

Non-Hemorrhagic causes of hypovolemic shock

Dehydration Burns greater than 20% of body surface area

Intrinsic causes of Cardiogenic Shock

Direct damage to the heart itself ex: Heart muscle damage Dysrhythmia Valvular disruption

Hextend

Prehospital fluid of choice for combat trauma casualties suffering from hemorrhagic shock in the absence of blood and blood components

Extrinsic causes of Cardiogenic shock

Problems outside of the heart ex: Cardiac tamponade Tension pneumothorax

Palpable BP locations

Radial-80 Femoral-70 Carotid-60

Types of Distributive Shock

Septic Anaphylactic Neurogenic Psychogenic

Type of Cardiogenic shock a combat medic can provide treatment for in a combat environment

Tension Pneumothorax

Extracellular fluid

fluid outside the cell 1/3 of total body fluid

Intracellular fluid

fluid within cells 2/3 of total body fluids

Two Types of Extracellular fluid

interstitial fluid- surrounds tissue cells intravascular fluid- found in the vessels

During CCA when do you treat for Hemorrhagic shock

'C' in M.A.R.C.H

Solution of choice for burn casualties

Lactated Ringer