Main Page | See live article | Alphabetical index


This article is about medicine. For the concept of shock in physics and mechanics, see Shock (mechanics).

Note: Wikipedia does not provide medical advice. If you have a medical problem, you should seek expert help.

In medicine, shock is a life-threatening medical emergency characterized by profoundly low blood pressure and tissue hypoperfusion. It may progress to death unless there is immediate outside intervention.

Some common causes of shock:

Table of contents
1 Symptoms and signs
2 Treatment
3 Prognosis

Symptoms and signs

The signs and symptoms of shock include pallor, hypotension, tachycardia, cold and clammy extremities and altered mental state.

Sometimes, in cases of septic or toxic shock, the patient's hands and feet may initially be warm rather than cold and become clammy as the toxins cause peripheral vasodilatation.


The proper treatment of shock is vital in the performance of first aid and comprises an essential part of the duties of the emergency medical technician, nurse, paramedic and doctor.

Quick diagnosis is of key importance. Resuscitation should be started immediately, the modality of which depends on the patient's requirements. Virtually all patients with shock will require some kind of intravenous access; obtaining venous access quickly is of paramount importance. Most people in shock require intravenous fluids. However, under certain circumstances such as in cardiogenic shock, too much fluid can be fatal, so a knowledgeable professional rather than a lay person should make these decisions.


Shock is sometimes classified into two stages - reversible shock and irreversible shock. The distinction between reversible and irreversible shock is clinical (and sometimes retrospective) - reversible shock is potentially treatable whereas irreversible shock inevitably leads to death. Most cases of untreated reversible shock will progress to irreversible shock within about six hours of onset.