CCMCP Shock

Question 1

CCMCP Shock - Trauma?

Answer 1

If blunt trauma to chest treat concurrently with pneumothorax protocol

Question 2

CCMCP Shock - Trauma with suspected isolated spinal cord injury?

Answer 2

Refer to neurogenic shock protocol

Question 3

CCMCP Shock - Arrythmia, cardiac ischemia, shortness of breath, hypoxia?

Answer 3

Refer to cardiogenic shock protocol

Question 4

CCMCP Shock - Evidence of allergic reaction?

Answer 4

Refer to anaphylaxis protocol

Question 5

CCMCP Shock - Evidence of toxidrome?

Answer 5

Refer to toxidrome protocol

Question 6

CCMCP Shock - Evidence of infection?

Answer 6

Refer to septic shock protocol

Question 7

CCMCP Shock - Evidence of non-traumatic blood loss?

Answer 7

Refer to hemorrhagic shock or GI bleed protocol

Question 8

CCMCP Shock - Hypotension which does not fit into a known category?

Answer 8

Consider universal airway protocol
Adult - 500 ml bolus prn to maintain MAP of 65
Ped - 20 ml/kg to maintain normotension for age
Consider vasopressors

Question 9

CCMCP Shock - Vasopressor of choice in pediatrics?

Answer 9

Epinephrine for cardiac, septic or neurogenic shock refractory to fluid