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start with the definition of shock: the inability to meet the metabolic demands of tissues and cells.
Next, understand the basic physiology of the human body: when in shock preserve the most important parts of the organism (brain, heart, lungs) and the gut isn't one of them, therefore, the gut tends to not function well at all and by giving fluid or solids by mouth, the organism (us) vomits because it doesn't have the adequate blood flow to sustain normal funtion.
Final story is DO NOT FEED WHILE IN SHOCK...this is why I.V. fluids are available and why we don't use the gut until the patient is out of shock for at least 12-24 hrs.
All of this is available in any medical text, especially critical care text.
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'Revel in action, translate perceptions into instant judgements, and these into actions that are irrevocable, monumentous and dreadful - all this with lightning speed, in conditions of great stress and in an environment of high tension:what is expected of "us" is the impossible, yet we deliver just that.
(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )
Education is the anti-ignorance we all need to better treat our patients. ss, 2008.
The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
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