Shock: Part 1 Hypovolemic Shock

Shock states are commonly encountered by nurses. This video is the first in a series on Shock. Hypovolemic shock is a condition of low circulating volume. Part 1: Hypovolemic Shock is presented by Dr. David Woodruff, The Nursing Prof.

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"I could be going into the early stages of shock right now if I don't get something to drink!"... you are funny :)... Thank you so much for the info

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CASE STUDY, a paramedic gives rapid intravenous saline into a patient who has severe blood loss from a knife wound to the carotid artery, first aid with pressure over the wound, patient was initially breathing and had a weak pulse and responsive to painful stimuli before the administration of IV saline. Patients breathing then ceased, an oropharyngeal airway was inserted and ventilation was provided. The patient went into cardiac arrest, CPR was commenced, an endotracheal tube was placed and CPR was continued. Cardiac rhythm alternated between pulseless electrical activity and asystole. Adrenalin and a total of 3 litres of normal saline were administered intravenously. Time is now 30 minutes since arrival at the scene then a further 12 minutes to arrive at the hospital. At the hospital resuscitation was continued, intravenous fluids, blood and blood products were given. A total of 8 units of packed cells and two units of fresh frozen plasma was given. Attempts were made to control the bleeding from the neck using diathermy and clamping, there was a return of circulation that lasted 3-4 minutes CPR was recommenced for a further 25 minutes until a decision was made to terminate resuscitation efforts.... would love to know your thoughts on this scenario, it has been a hot topic of discussion at university. Many thanks.