Shock and symptoms
How to recognize and treat shock in injured people in traffic accidents.
What is shock?
Shock occurs when the body does not get enough blood and oxygen to important organs. In traffic accidents, shock can be caused by blood loss, severe pain, serious injuries or strong fear. Untreated shock can be life-threatening.
Symptoms to recognize
| Symptoms | What you see |
|---|---|
| Pale and clammy skin | The skin may also appear grey or bluish |
| Fast, weak pulse | The body tries to compensate for the blood loss |
| Fast Breathing | Superficial and strained |
| Confusion | Restlessness, anxiety or apathy |
| Cold Sweat | Especially in the forehead |
| Thirst | The person asks for water |
| Nausea | May vomit |
First aid measures in case of shock
- Lay the person down with their legs raised 20-30 cm above heart level (shock position)
- Keep the person warm — wear a blanket, jacket or whatever you have available
- Reassure — speak calmly and confidently
- Never give food or drink — the person may need anesthesia in the hospital
- Do not move the person unnecessarily, especially if neck injury is suspected
- Monitor breathing continuously
When shock bearing should NOT be used
- In case of head injuries — keep your head elevated instead
- In case of breathing difficulties — a half-sitting position can help
- In case of suspected neck injury — let the person lie flat and stabilize the head
Connection with other injuries
Shock can occur in combination with many types of injuries. Be aware of shock even if the visible damage seems small — internal bleeding is not always visible.
Typical pitfalls on the theory test
- Think shock is just about fear — it’s a medical condition that can be fatal
- Giving water to a person in shock — this can worsen the situation
- Forgetting to raise his legs in a shock position
- Do not know that an unconscious person in shock who is breathing should be in stable side position , not shock position
Further reading
- Complete overview of first aid in the event of a traffic accident
- Learn about neck injuries and stabilization
- See the procedure for cardiopulmonary resuscitation
- Understand correctly securing the scene of an accident
- Read about call 113 and emergency procedure
Read next
More in Class B course
Accidents involving vulnerable road users
Special procedures and considerations for accidents involving pedestrians and cyclists.
Accidents, reporting and first aid
Checklist for safe handling of accidents and proper notification.
Adapted speed and hidden danger
What adjusted speed means in practice, and how you anticipate hazards you cannot see.
Age limits and practice driving
Everything about age limits for class B and what is required for private practice driving with a companion.