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When shock sets in: What the body does to compensate

Recognizing hypoperfusion early is key to prompt management

We learned early in our career that inadequate tissue perfusion — or shock — is a terrible situation for the body. As they lose oxygen and acidosis builds, the cells are injured and eventually die.

If enough cells are affected, tissues, organs and eventually entire systems succumb to shock’s devastating effects. This is the reason EMS providers have to recognize the early signs and not depend upon a falling or low blood pressure to set off the alarm bells.

Let’s talk about how the body tries to manage shock on its own. It is an interesting series of interactions that it uses to preserve life. Check out the video below.

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Jon Puryear, NREMT-P, has been active in EMS since 1983. He has been an active paramedic since 1992 including being an educator and Field Training Officer for several employers. He was the Assistant to the Medical Director for Dr. John Griswell in Ft. Worth, Texas, for EPAB/MedStar EMS and the Education/Clinical Coordinator for CareFlite in the Dallas/Ft. Worth Metropolitan area. Jon is the owner of Jon Puryear EMS CE, performing online live streaming and recorded EMS CE classes and refreshers. The live online classes are taught in a virtual instructor-led online live classroom, which allows the student to participate in “real time.” These classes may be taken from any computer or iPad/Apple TV with internet access and no travel is required. Many recorded classes are available in his online Learning Management System. Jon performs a 16 hour NREMT prep onsite to initial programs, and also a recorded version online designed to prepare students for their NREMT written examination. You may contact Jon and obtain more information about his services at www.jonpuryear.com.

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