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EMR
EMT
AEMT
Paramedic
Extended
Non-Traumatic Shock
Non-Traumatic Shock
Universal Patient Assessment
Oxygen
Titrate SpO2 to 94%
Cardiac Monitor
12-Lead ECG
If
EMT
or STEMI, transmit
Adult IV/IO
Non-Traumatic Shock could
have origins that are cardiac,
immunologic, obstructive, or
resulting from dehydration.
Non-Traumatic Shock could
present with dizziness, pale,
cool, clammy skin, anemia,
and orthostatic hypotension.
Consider Rapid Transport
Fluid Bolus
1000mLNormal Saline
if lung sounds are clear.
If systolic BP < 80 mmHg and you suspect
anaphylactic, spinal, or septic shock:
Epinephrine Push-Dose Pressor
0.5-2 mL every 2-5 min
Maintain SBP 90 mmHg
Repeat Fluid Bolus
1000mLNormal Saline
if lung sounds are clear.
Still hypotensive
Still hypotensive
Epi Push-Dose Conversion
Once mixed properly to 10
mcg/mL, this is the conversion:
Every 2 Minutes
0.5mL q 2 min = 2.5 mcg/min
1mL q 2 min = 5 mcg/min
1.5mL q 2 min = 7.5 mcg/min
2mL q 2 min = 10 mcg/min
Every 5 Minutes
1mL q 5 min = 2 mcg/min
1.5mL q 5 min = 3 mcg/min
2mL q 5 min = 4 mcg/min
Repeat Fluid Bolus
1000mLNormal Saline
if lung sounds are clear.
Still hypotensive