Pain is a defensive reaction, a signal to imminent danger. If its source is not eliminated, then serious consequences, called shock, are possible. During a critical condition (shock) due to insufficient blood supply, the functioning of organs and systems of the body is disrupted. A shock condition is a complex phenomenon that arises as a result of a peculiar reaction to severe trauma (hypothermia, exhaustion of the body, loss of blood), which is related to the body systems or internal organs.
What is a “pain shock”?
Pain shock, as the name implies, is caused by a strong pain stimulus that can cause irreparable harm to the entire body. During this condition, acute cardiovascular failure and a sharp decrease in blood pressure are observed. Stress and severe pain both cause a shock reaction. The absence of antishock measures aggravates the current situation. It is worth noting that the severity and rate of development depend on the underlying cause that caused this phenomenon.
What is going on in the body?
During a state of shock, overstrain and depletion of the central nervous system (central nervous system) occurs in the body. The work of the cardiovascular system is disrupted, which characterizes the increased heart rate (which cannot be felt) and a decrease in blood pressure. At this time, the human body is trying to independently stabilize the pressure, and in this regard, centralization of blood circulation occurs. The brain, lungs, heart begin to be supplied with blood, and internal organs and muscles, in turn, do not receive the necessary amount. That is why there is a disruption in the functioning of internal organs.
Shock phase
Let's look at the two main phases of this state.
- Excitation - is the response of the body to the injury and develops immediately after the stress. The victim has anxiety, speech and motor agitation. A person in a state of shock has a pale face, rapid pulse, rapid breathing and high blood pressure. This phase is short-lived and lasts from 5 to 15 minutes, then goes into another, more dangerous state, which without qualified specialists is quite difficult to detect and prevent.
- Braking - this phase is due to a sharp decline in strength, while maintaining consciousness. The victim has a depressed state, indifference to what is happening and a lack of reaction to pain. A pale face, low body temperature, private and shallow breathing, decreased pulse pressure are the main symptoms of shock.
The transferred pain shock, the symptoms of which we examined, is determined, first of all, by the nature and severity of the damage.
The principles of dealing with shock
- Previously, the victim was anesthetized with analgesics (Promedol, etc.). However, analgesic analgesia is contraindicated in patients with reduced blood pressure and traumatic brain injury. Remember that anaphylactic shock, the symptoms of which are difficult to predict, can cause an improperly selected drug.
- Moderate warming with a blanket, warm clothes or heating pads. You can drink hot tea, food or a small dose of alcohol. But, with vomiting or wounding in the stomach, you can’t eat.
- The position of the victim in Trendelenburg. It lies in the fact that people lift their legs a little and remove the pillow from under their heads.
- With oxygen starvation, either inhalation of moistened air is prescribed, or artificial lung ventilation is performed.
Providing qualified medical care:
- Stop bleeding.
- The introduction of cardiovascular and analgesic agents.
- Tire application is performed for fractures, soft tissue injuries or injuries.
- Warming procedures.
- In severe shock condition, novocaine blockade and plasma infusion are performed.
It is worth noting that the issue of evacuating the victim is resolved only after the removal of all the symptoms of shock. Remember that quickly taken all the necessary measures will help save the life of a person experiencing pain shock.