CMSgt John Jonckers, RN, NREMT-P Superintendent 141st MDG SMEE - Thailand

1. Hemorrhage & Shock CMSgt John Jonckers, RN, NREMT-P Superintendent 141 st MDG SMEE - Thailand

6. Shock Inadequate peripheral perfusion leading to failure of tissue oxygenation  may lead to anaerobic metabolism

8. Fick Principle Air’s gotta go in and out. Blood’s gotta go round and round. Any variation of the above is not a good thing!

10. AEROBIC METABOLISM Glycolysis: Inefficient source of energy production; 2 ATP for every glucose; produces pyruvic acid Oxidative phosphorylation: Each pyruvic acid is converted into 34 ATP 6 O 2 GLUCOSE METABOLISM 6 CO 2 6 H 2 O 36 ATP HEAT (417 kcal)

11. ANAEROBIC METABOLISM Glycolysis: Inefficient source of energy production; 2 ATP for every glucose; produces pyruvic acid GLUCOSE METABOLISM 2 LACTIC ACID 2 ATP HEAT (32 kcal)

39. Key Issues In Shock Isolated head trauma does NOT cause shock (“possible” in peds)