Shock is a complex syndrome wherein there is insufficient blood flow to supply oxygen and

nutrients to the body. Shock may be a result of several mechanisms, including internal or external

bleeding or fluid loss from burns, vomiting, diarrhea, dehydration, severe infection and other nontraumatic

causes. An EMS provider transport service must be contacted for response to provide

additional treatment and transfer to an appropriate facility.

A. Call for EMS transport, if not already activated.

B. Maintain airway:

1. Insert oral or nasopharyngeal airway as needed.

2. Administer oxygen 15 LPM via non-rebreathing mask.

3. Assist ventilations with oxygen via mouth to mask.

C. Control external bleeding.

D. Prevent heat loss.

E. Monitor vital signs.

F. Immobilize as appropriate.

G. Elevate lower extremities.

H. Transfer patient to the transporting EMS provider.