Trivia question #1

[PARAGON]

Trivia questions to see, collectively, how smart we are.

What is the best way to prevent someone from going into shock from blood loss?

[ETD]

As someone who treats shock victims I'll have to agree with part of the "correct" answer since Paragon said the victim was NOT in shock yet. However, I don't get the "animal meat" part, WTF ?!? Secondly, oral rehydration is a well-proven therapy even when someone is in shock if there are no alternatives, i.e. you are up the mountain on your Hummer and there was an accident. The key is to do it slowly, sips at a time or a straw at a time (stick the straw in the liquid, close one end with your finger, transfer to the mouth, release, repeat every 3 minutes until you get about a gallon into an adult victim). Now if the person is in a coma as well from a head injury or deep shock so he can't swallow then...SOL folks. I think the lesson here is to think ahead and bring along plenty of water and Gatorade and straws (in a pinch use a piece of bark as a spoon). Of course if you are stuck on the mountains for a few days and need liquid, there is a set up where you can purify your urine to drink... but that's another story.

[PARAGON]

<BLOCKQUOTE class="ip-ubbcode-quote"><div class="ip-ubbcode-quote-title">quote:</div><div class="ip-ubbcode-quote-content">Originally posted by Alec W:
B </div></BLOCKQUOTE>novel idea, I'll do ABC on the next ones.

[ETD]

<BLOCKQUOTE class="ip-ubbcode-quote"><div class="ip-ubbcode-quote-title">quote:</div><div class="ip-ubbcode-quote-content">Sometimes that might mean shoving a piece of raw meat up their rectum. </div></BLOCKQUOTE>



(I got no come back for that one!)

[Dug]

Stick a tampon in it.

[PARAGON]

Trivia questions to see, collectively, how smart we are.

What is the best way to prevent someone from going into shock from blood loss?

[Wagoneer]

Lucky for the "very stupid" people, We leave the chicken soup life saving stories for our kids. But as a rule if we see fools eating soup or meat on the trail we just keep driving..natural selection at its best.

[Mr. I - Man]

Answer 1 is the only correct answer.

Never give a Hemorrhagic Shock victim fluids orally.

Saline, Hemogolibin and blood packs should be administered interveinously as soon as possible.

So 2 & 3 are wrong dead wrong

[Dug]

I'd guess it would have to be A) " stroke them"
Because the other two cant be done.

[PARAGON]

sucking on raw animal meat provides the same "benefits" as the chicken soup.

Otherwise ETD, you are on the right track with everything. You are trying to prevent shock from occuring and rebuilding blood supply so that it can provide oxygen to the organs is the main goal.

[Mr. I - Man]

Start the Breathing

Stop the Bleeding

Protect the wound

And Treat for Shock

[ETD]

No go Paragon. Hemorrhagic shock is a mostly a loss of fluid state. Animal meat will not replenish fluids... no way.

[Wagoneer]

Hmmmm....this might make an intesting study. If someone loses blood and may go into shock how much iron and fluids would they have to eat to prevent it?
That sounds like a woman's life.

[PARAGON]

Answer is B. In hemorrhagic shock, blood loss exceeds the body's ability to compensate and provide adequate tissue perfusion and oxygenation. After the wound or blood loss is taken care of and there is a chance of shock, intravenous access and fluid resuscitation is the norm if traditional medical care is available. If it is not, fluid resuscitation needs to occur as quickly as possible and red meat as well as chicken contains hemoglobin which helps build the cell count, as if you had an iron deficiency. Chicken soup is an alternative also for the same reasons but might be easier to administer.

[alldunn]

They'd be fcuked if I had to save em because I don't have a clue.

[Wagoneer]

How low do you think the Hemoglobin can go before there is a problem?

[ETD]

I supposed that I should quit as I basically can not read Paragon's mind BUT if the question as I interpret it is referring to "how do you PREVENT shock in someone who suffered a bleeding episode" then the answer is volume and volume. No ifs, ands, or buts. Again, if the scenario is such that the person so injured is far from medical help and is conscious enough to eat then chicken soup, water, gatorade, soda, whatever. A few days after the person has been hospitalized and is stable, then an intake of read meat can help to replenish the iron pool. The hemoglobin/red cells will eventually be made by the bone marrow and will not be resorbed from the gut after eating red meat as digestive enzymes will break the hemoglobin down to amino acids constituents. Now if Paragon has to always be right on this forum then I bow to the wisdom of the group, otherwise I am a traumatologist and want to advice the forum correctly in case one of us has an accident on the trails. Thanks.

[Mr. I - Man]

Wrong !!!!!Nothing oral ,feeding is oral if the victim is fed oral the blood will travel to the stomach to aid in digestion and away from vital organs. Doing what Paragon said will put the victim in further danger. IV is the only to admin fluids.

[Wagoneer]

Given the loose terminology hemorrhagic shock is more of a shocking TV description term than anything else. On occasion I have accidentally caused hemorrhagic shock in people. In these cases defining it as bleeding lots of blood out of the body until the blood pressure is very low, I am guessing this is what the original question attempted to ask about. The key to survival is to stop the bleeding and restore the BP with volume..generally what ever is on hand although IV blood would be ideal. Depending on how low the BP has fallen and how much end organ damage has been caused this may be possible with oral rehydration as a temporizing measure but i have no experiance with that. Best thing is to go to a hospital asap before boing up any soup or opening packs of jerky. Oral iron in any form is worthless.
I always give them chicken soup at least the next day as it makes em feel better and then I'm less likely to get sued.

[h2co-pilot]

"Feeling a little Shock Bound!?...

SNAP INTO A SLIM JIM!!"