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Defibrillation is a treatment for life-threatening cardiac arrhythmias, specifically ventricular fibrillation (V-Fib) and non-perfusing ventricular tachycardia (V-Tach). [1] [2] A defibrillator delivers a dose of electric current (often called a counter-shock) to the heart.
Cardiogenic shock is most commonly precipitated by a heart attack. [4] Treatment of cardiogenic shock depends on the cause with the initial goals to improve blood flow to the body. If cardiogenic shock is due to a heart attack, attempts to open the heart's arteries may help. Certain medications, such as dobutamine and milrinone, improve the ...
Many of the signs of obstructive shock are similar to cardiogenic shock, although treatments differ. Symptoms of obstructive shock include: Abnormal heart rhythms, often a fast heart rate. Reduced blood pressure. Cool, clammy, mottled skin, often due to low blood pressure and vasoconstriction. Decreased urine output.
Timing the shock to the R wave prevents the delivery of the shock during the vulnerable period (or relative refractory period) of the cardiac cycle, which could induce ventricular fibrillation. If the patient is conscious, various drugs are often used to help sedate the patient and make the procedure more tolerable.
Patients who received pulsing electrical impulses, as opposed to a steady flow, seemed to incur less memory loss. The vast majority of modern treatment uses brief pulse currents. [70] A greater number of treatments and higher electrical charges (stimulus charges) have also been associated with a greater risk of memory impairment. [35]
Hypovolemic shock is a form of shock caused by severe hypovolemia (insufficient blood volume or extracellular fluid in the body). [1] [2] It can be caused by severe dehydration or blood loss. [3] [2] Hypovolemic shock is a medical emergency; if left untreated, the insufficient blood flow can cause damage to organs, leading to multiple organ ...
Neurogenic shock is a distributive type of shock resulting in hypotension (low blood pressure), often with bradycardia (slowed heart rate), caused by disruption of autonomic nervous system pathways. [1] It can occur after damage to the central nervous system, such as spinal cord injury and traumatic brain injury.
Permissive hypotension relies on the heart's ability to pump fluid through the body efficiently. Less intravascular fluid results in less fluid filling the heart (lower end diastolic volume) which results in a lower amount of volume pumped out of the heart (stroke volume). This is based on the Frank-Starling law of the heart.
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