hello to all,
my name is Ofer and I'm a medic from Israel, and this is my first thread here, so I hope that this is the right place.
I'm searching for some reliable sign of shock at his early stages, while he might be still compensated shock.
After reading the PHTLS I've noticed that I can only know for sure that my patient is in the shock condition after his hypotesive or/and tachycardi about 140 HR - when he is at the uncompensated shock (class 3 as the PHTLS define) but I'm looking for earlier signs.
I'm looking for some sign that will help me to notice the shock as soon as possible, while at start the BP will will be normal or increased and HR at start will be little tachy about 100-120, but this also occurs due to sympathetic activity that happens after a road accident for example.
so, is there any reliable sign of shock at the prehospital? that also rely of some researches or even your experience?
It not must be for all types together - if there is any good sign to look for in any type is also good.
thank you all!
ofer.
my name is Ofer and I'm a medic from Israel, and this is my first thread here, so I hope that this is the right place.
I'm searching for some reliable sign of shock at his early stages, while he might be still compensated shock.
After reading the PHTLS I've noticed that I can only know for sure that my patient is in the shock condition after his hypotesive or/and tachycardi about 140 HR - when he is at the uncompensated shock (class 3 as the PHTLS define) but I'm looking for earlier signs.
I'm looking for some sign that will help me to notice the shock as soon as possible, while at start the BP will will be normal or increased and HR at start will be little tachy about 100-120, but this also occurs due to sympathetic activity that happens after a road accident for example.
so, is there any reliable sign of shock at the prehospital? that also rely of some researches or even your experience?
It not must be for all types together - if there is any good sign to look for in any type is also good.
thank you all!
ofer.