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Medical shock is a life-threatening emergency. Effective first aid and prompt medical attention can save a person’s life. First aid management includes:

In medical terms, shock is the body’s response to a sudden drop in blood pressure. At first, the body responds to this life-threatening situation by constricting (narrowing) blood vessels in the extremities (hands and feet). This is called vasoconstriction and it helps conserve blood flow to the vital organs. But the body also releases the hormone (chemical) adrenaline and this can reverse the body’s initial response. When this happens, the blood pressure drops, which can be fatal. Many things affect the severity and effect of shock on a person, such as their health, age, gender and personality, where on their body they are injured, and the environment. If a person has emotional distress or sudden fright, their body releases adrenaline into the bloodstream, but this usually reverses itself in a healthy person. This is where the confusion in the term ‘shock’ sometimes occurs. This ‘non-medical shock’ is a response to anxiety or fear. Although the symptoms can look like those of medical shock, this ‘fright-flight’ response is short lived and symptoms will disappear once the person is comforted or the reason for the fright or fear is removed.

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Generally, hypovolaemic, neurogenic and anaphylactic shock respond well to treatment. But in about half of all cases of cardiogenic and septic shock, the person will die.

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In all cases of medical shock, treatment aims to restore the blood circulation and manage or prevent complications. When the person reaches the emergency department of the nearest hospital, medical staff will often make efforts to secure their airway and boost their blood circulation, before diagnosing the cause of shock. In some cases (such as stab wounds, severe burns or traumatic amputation), the cause of shock is obvious. In other cases, once the person is out of immediate life-threatening danger, hospital staff may use diagnostic tests to learn the cause of the person’s low blood pressure. Tests may involve:

For unexpected after-hours medical issues, there are telephone helplines, pharmacies, after-hours medical clinics or doctors who can visit you at home.

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Medical shock is a life-threatening condition. A person’s chances of surviving medical shock depend on various factors including:

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Severe allergic reactions (anaphylaxis) and asthma attacks need urgent emergency first aid. In an emergency, always call triple zero (000).

Most people think of ‘shock’ as emotional distress or sudden fright in response to a traumatic event. But in medical terms, shock is when you do not have enough blood circulating around your body. It is a life-threatening medical emergency. Some of the causes of shock include uncontrolled bleeding, severe burns and spinal injury. A drop in blood pressure reduces the flow of oxygen and nutrients to a person’s vital organs such as their brain, heart and lungs. If the blood flow is not restored, the person may die from complications due to lack of oxygen supply to major organs (hypoxia).

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Please note that these suggestions are not a substitute for first aid training. Refer to the Where to get help section of this fact sheet for organisations that offer first aid courses. Your training may save a life.

You can help a person who has non-medical shock by comforting them or encouraging them to use anxiety management techniques, until the reason for their fright or fear is removed.

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