Environmental
Shock
Signs and Symptoms
Rule of 9s
GCS
100

This diving emergency is also known as "the bends".

What is decompression sickness?

100

The final stage of shock.

What is irreversible shock?

100

Burned tissue, extreme pain, blisters

What is partial-thickness or second degree burn?

100

Anterior head, circumferential right arm.

What is 13.5%?

100

Eyes open to pain, oriented speech, obeys motor commands.

What is 13?

200
Heat strokes are characterized by a lack of this.

What is sweating?

200

Psychogenic shock falls under this category of shock.

What is distributive?

200

Decreased level of consciousness, hypertension, "thunderclap" headache

What is subarachnoid hemorrhage?

200

Anterior abdomen and groin.

What is 10%?

200

Eyes open to verbal stimuli, confused, localizes painful stimuli.

What is 12?

300

This thermogenic reaction stops when the body's temperature falls below approximately 91o.

What is shivering?

300

This pulmonary sign may be found with cardiogenic shock, but is typically not associated with other types.

What is pulmonary edema?

300

Pain, shortening and external rotation of leg.

What is hip fracture?

300

Posterior torso, bilateral posterior legs

What is 36%?
300

Eyes open spontaneous, inappropriate words, decorticate posturing

What is 10?

400
Painful muscle contractions, seizures, and hypoventilation are all signs of this spider's bite.

What is a black widow?

400

A patient is considered to be in decompensated shock when their systolic BP drops below this.

What is 90 mmHg?

400
Dyspnea, unilateral lung sounds, normal blood pressure.

What is a simple pneumothorax?

400

Circumferential head, circumferential torso, bilateral circumferential arms. 

What is 63%?

400

Eyes do not open, inappropriate words, withdrawals from painful stimuli.

What is 8?

500

Crackles can be heard when auscultating this altitude emergency.

What is high-altitude pulmonary edema or HAPE?

500

The nervous system responsible for the signs and symptoms associated with compensated shock.

What is the sympathetic nervous system?

500

Raccoon eyes, Battle's sign, CSF drainage

What is basilar skull fracture?

500

Anterior left thigh, groin, circumferential torso, anterior right arm.

What is 46%?

500

Eyes open to verbal stimuli, incoherent moaning, no motor response.

What is 6?

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