Traumatic shock

Traumatic shock is a general severe reaction of the body with massive tissue trauma and blood loss. Etiology: severe closed and open fractures, trauma to internal organs, extensive wounds. The main factors in the development of shock are the trauma of the elements of the nervous system, blood loss and intoxication, which lead to hemodynamic disorders, a decrease in the volume of circulating blood and hypoxia of peripheral tissues.

Symptoms, course. Immediately after the injury, there is a short-term (up to 5-10 min) erectile phase of shock, motor and speech excitement, often an increase in blood pressure. Then the torpid phase is different in severity: the pallor of the skin and visible mucous membranes, adynamia, a frequent weak pulse, a decrease in blood pressure.

In case of severe injuries accompanied by profuse bleeding, in the absence of medical care, rapid death may occur. In a number of cases (with violation of immobilization of the extremities or the resumption of massive bleeding), a late shock (2-4 h after injury) may develop.

Complications: stage of irreversible shock with delayed or irrational treatment; Swelling of the lungs, brain, heart failure; Acute renal failure.

Treatment. First aid is the release of the respiratory tract from the contents, a temporary stop of bleeding, intravenous transfusion of plasma substitutes, local anesthesia of fracture zones, the imposition of transport tires, emergency and careful transportation to a hospital in a prone position. Drugs are not administered until exclusion of trauma to the organs of the abdomen.

Prognosis with a decrease in systolic pressure to 60 mm Hg. Art. And lower for 2-3 hours serious.

Prevention. Early and careful hospitalization in severe injuries without shock, early stop of bleeding, local anesthesia of the fracture area.