traumatic shock


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traumatic shock

Shock due to injury or surgery. In the abdomen, it may result from hemorrhage and/or peritonitis secondary to a disrupted or perforated viscus. Additional causes of traumatic shock include the following:

Cerebral injury: Shock from concussion of the brain secondary to cranial contusion or fracture or spontaneous hemorrhage. The shock may be evident immediately or later due to edema or delayed intracranial hemorrhage. Chemical injury: Shock due to physiological response to tissue injury, such as fluid mobilization, toxicity of the agent, and reflexes induced by pain due to the effect of chemicals, esp. corrosives. Crushing injury: Shock caused by disruption of soft tissue with release of myoglobulins, hemorrhage, and so forth, generally proportional to the extent of the injury. Fracture (esp. open fracture): Shock due to blood loss, fat embolism, and the physiological effects of pain. Heart damage: Shock caused by myocardial infarction, myocarditis, pericarditis, pericardial tamponade, or direct trauma with ensuing cardiovascular effects. Inflammation: Shock caused by severe sepsis, for example, peritonitis due to release of toxins affecting cardiovascular function and significant fluid mobilization. Intestinal obstruction: Shock caused by respiratory compromise due to distention, fluid mobilization, release of bacterial toxins, and pain. Nerve injury: Shock caused by injury to the area controlling respirations (e.g., high cervical cord injury) or to highly sensitive parts, such as the testicle, solar plexus, eye, and urethra, or secondary to cardiovascular reflexes stimulated by pain. Operations: Shock that may occur even after minor operations and paracentesis or catheterization due to rapid escape of fluids resulting in abrupt alteration of intra-abdominal pressure dynamics and hemorrhage. Perforation or rupture of viscera: Shock resulting from acute pneumothorax, ruptured aneurysm, perforated peptic ulcer, perforation of appendicial abscess or colonic diverticulum, or ectopic pregnancy. Strangulation: Shock resulting from strangulated hernia, intussusception, or volvulus. Thermal injury: Shock caused by burn, frostbite, or heat exhaustion secondary to fluid mobilization due to the physiological effects of pain. Torsion of viscera: Shock caused by torsion of an ovary or a testicle secondary to the physiological effects of pain.

See also: shock

Traumatic shock

A condition of depressed body functions as a reaction to injury with loss of body fluids or lack of oxygen. Signs of traumatic shock include weak and rapid pulse, shallow and rapid breathing, and pale, cool, clammy skin.
Mentioned in: Wounds
References in periodicals archive ?
In patients with hemorrhagic and traumatic shock, RBC transfusion and emergency surgery tended to decrease mortality.
If the pain is not abated with strong narcotics, the sufferer goes into traumatic shock. Raising and mounting the crosspiece to the top of the stipes would have triggered even greater pain and contributed to traumatic shock.
Failure to escape traumatic shock. Journal of Experimental Psychology, 74, 1-9.
These three events, although seemingly disparate, have one crucial element in common: The people present during these incidents experienced a traumatic shock that can have severe emotional effects for days, months or possibly even years.
Traumatic shock is life-threatening, i.e., the body's vital functions are experiencing insufficient blood flow or lack of oxygen in the blood.
The general contraindications to replantation include marked symptoms of cardiopulmonary or hepatic insufficiency, traumatic shock of stage III, diabetes mellitus and others.
BOTTLING up feelings after a traumatic shock may be a better strategy than letting them spill out, a study has found.
AT the height of my post Twickers traumatic shock last week an envelope thudded on the mat with the force of an England forward flopping over the try line.
She had a traumatic shock after 27 years of marriage when her husband told her he no longer loved her and wished to be with someone else.
Hazel Wilson, whose cat died of traumatic shock after a firework was thrown at it, has started a petition, which we at Socelex are supporting.
Now Sherry hops around the house like a baby bird noisily greeting the rosy dawn, chirpily urging her mother (in traumatic shock ever since her husband walked out) to get out of bed and her sister (in acute despair ever since her fiance called off their wedding) to give up the sofa.

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