Tag: Shock

  • MLM – In Unashamed Defense of Multi-Level and Network Marketing

    [ad_1]

    One of the things that tells you are being successful in your online marketing efforts is an increasing number of emails from nay sayers, spoilers and people who are just down right rude.

    I recently received one from an IT expert who was independently well off thanks to stock options and profit sharing. He mocked MLM people as “bottom feeders” and said, “I mock MLM as a business model.” Probably very easy to do when you’re loaded thanks to stock options, etc – just hope his company doesn’t go the way of Enron!

    To be honest I mock most other business models as an inefficient and sometimes down right unethical way to do business. Example one:- Small family in china produces components for a larger company for a tiny margin, large company then sells products to a wholesaler, wholesale then sells it to a foreign wholesaler who then sells it to a retailer who sells it to the consumer. Now this is a basic model – sometimes the middle men can be much more numerous. Either way the original producer gets screwed and the consumer gets screwed thanks to the number of middle man. This is even worse in the agricultural industry. Go to a farmer and ask him how much he/she gets for a liter of milk, a ton of potatoes, etc – it will shock you! They get a pittance of the final shelf price. For farmers to continue to rely on the big multinationals to do the right thing by them is the seriously flawed business model as they continue to be driven to the wall. I MOCK TRADITIONAL BUSINESS MODELS.

    The worlds biggest MLM is the international illegal drug market – although they trade in evil and death they are a huge network of people from poppy fields in Afghanistan to street sellers in western cities – the high estimate is that the world wide industry is $500 billion. The a lot of money for what is an MLM. Should MLM still be mocked as a business model?!

    Multi-level marketing and network marketing is found throughout the business world. Real Estate agents, Dealerships, and many other ‘traditional’ business often have levels of reward depending on number of sales, sales people below you, etc. The internet abound with affiliate programs that are multi-leveled to reward affiliates not only for product sales, but also if they bring in new affiliates.

    Why is MLM so hated by the traditionalists? One it represents a threat. It means a load more competitors. It puts products profits into the hands of the consumers. It means less sales bonuses for them and less margins for the middle men. It means the wealthy can lose control of markets that they previously dominated. Who would you be more scared of – another multi-national with a sales team of 100 people, or a MLM with 100,000 non-professional sales people? Genuine people power has always frightened those in control of both the power and the purse strings. Why would you give the profits to the consumer instead of the share holders? Of course it rattles their cage – it threatens their very existence. Instead of a CEO earning millions for doing nothing, he/she would actually have to get out there and prove that they could sell a product to be successful. Hugely frightened for someone relying on their degrees and old tie network to get ahead.

    Multi-level marketing and network marketing is also hated by the traditionalist because it frees people from slavery to a forty hour working week. They love people to be in credit card debt. They love people to HAVE to go to work to survive. They love people having big mortgages. They love people being CONSUMERS. They don’t want consumers to turn into producers. It spoils there party. They don’t want people to be free to from the “traditional” working (slavery) model.

    At the end of the day it doesn’t matter what the naysayers say about MLM, the only thing that matters is can you succeed at MLM.

    [ad_2]

    Source by Alastair Harris

    Views: 0

  • When Your Husband Leaves You Without Any Warning

    [ad_1]

    I often get correspondence from wives who are now living alone but who never saw this coming. Generally, they will come home from work or from running errands one day and find that their husband has left them. Or, the husband will abruptly pack his bags and announce that the marriage is no longer working for him and he thinks that he might “want out.” However this plays out, often the wife will tell me that she had no real warning and that this was very much an abrupt and unwelcome surprise.

    I often hear things like “I can’t believe he left me. I never really saw this coming. I knew we had issues, but every married couple has issues. I just can’t believe that he would leave me without ever trying to work things out. And, I don’t know where to go from here. I don’t want a divorce. I want him to come back home, but I’m so angry that he didn’t try to approach me first that I don’t even know how to approach him. What should I do?”

    The answer to this question is going to depend upon the circumstances and the people involved. But, it will often help to deal directly with the real situation that is in front of you, rather than trying to deal with the situation that you envision or hope exists. I will discuss this more in the following article.

    Don’t Focus Only On The Fact That You Had No Warning When He Left. Focus On What To Do Now And Where To Go From Here: It’s completely normal to be floored by the fact that one morning you woke up with a husband living at home, but by evening you were alone without any warning. This is an abrupt blow that can be devastating. But, because it can be important to act quickly, you will often have to make a conscious decision not to focus on the way in which this happened.

    Yes, your husband could most certainly have handled this in a different and preferable way, but neither of you can change that now. There’s a real risk in allowing your reaction to how he handled this to interfere with how you act toward him in the present. It can really help to ask yourself what your ultimate goal is in this situation. Some women will just want to handle themselves with dignity and grace while coping and moving on in the best way that they know how.

    Others will decide that their primary goal is to get their husband to come back home as quickly as possible. Often, what will help with one of these goals will also help with the other. No matter what you decide that you ultimately want, it’s my experience that you will often have an easier time getting it if you focus on what is right in front of you rather than the manner in which it happened. Yes, being blindsided is very painful and shocking, but it can hurt rather than help the situation to dwell on this rather than taking action.

    Evaluating What Is Going To Most Improve Your Situation: Once you’ve decided where you want to go from here, it’s important to step back and to try to take the emotion out of it to come up with the strategy that is most likely to get you what you want. It’s so easy to lash out, feel resentful, and to feel sorry for yourself. But these things usually won’t get you any closer to what you want. In fact, allowing your feelings to run your actions will often keep you from getting what you want.

    Debating with your husband, arguing with him, or lashing out will often push him even further away and just make you more upset with your situation. It’s usually better, at least in my experience and observation, to try as best as you can to limit yourself to the actions that strengthen you and allow you to feel in control rather than to surrender to those feelings or actions that are natural (and may relieve some tension) but which will only make the situation worse.

    It’s usually when you can somewhat rise above this and handle yourself with strength and calm that you will often begin to gain some ground. I absolutely know that this can be difficult. Sometimes, you might need to wait to interact with your husband until you can actually be calm. This may not be possible in the very beginning. But it can really help to always keep in mind your ultimate goal so that you don’t lose control of your strategy.

    Interacting With Your Husband During This Difficult Situation: It’s probably fair to say that there will come a time when you will need to communicate with your husband about where your marriage is going from here. Whether it’s fair or not, your husband has sent a clear message by leaving. Now, it’s up to you as to how you are going to reply to that message. But, before you do, define how you ultimately want for this to turn out. If you could put aside the shock, the hurt, and the fear, what is your greatest wish right now? The answer to this question is what you must place your focus upon.

    Because I would argue that no matter what your ultimate goal is, you’ll usually get closer to it by trying to interact with him in a positive way. Even if you are ultimately going to end the marriage, this was an important relationship in your life and it will likely help you going forward if you can keep this as positive as you can. If you want to save the marriage, improving your relationship and communications going forward will go a long way toward helping you to eventually save your marriage.

    There is absolutely nothing wrong with telling your husband that although you’re devastated that he would leave you without warning, you would like to interact with him in a positive way going forward. Since the two of you were once the most important people in one another’s lives (and may well still be) it just doesn’t make sense to allow for one negative action to turn into something that is even worse. He may not be all that receptive to this at first, but when he sees that you’re not reacting as he anticipated and are working with him rather than against him, you will sometimes be able to slowly rebuild with time. This is often true even if you are not 100% sure how you want to approach him right now.

    [ad_2]

    Source by Leslie Cane

    Views: 0

  • Weight Loss – How I Went From 340 to 199 Pounds, Part 1

    [ad_1]

    I spent two years losing over 140 pounds the old fashioned way: proper diet and exercise. No fads. No pills. No surgery. No crazy machines. I was 30 years old and 340 pounds. With a history of heart disease and obesity in my family, I decided it was time to shed the pounds.

    Almost every day I get people I haven’t seen in years coming up to me saying “Wow! You look great!” and then the next question… “What have you been doing?” That’s why I wrote this article.

    Disclaimer

    Now, of course, as a general disclaimer, I have to say that the tips I’m sharing with you here are just from my own personal experience. I’m not a professional health expert – although over the past couple of years I’ve read dozens of books, and hundreds of articles on nutrition, exercise, and weight lifting. I’m not a doctor. You should, of course, seek your own doctor’s advice before starting any kind of a weight-loss or exercise plan. I firmly believe that with the right diet and proper exercise, almost anyone should be able to lose weight and get fit safely.

    Tip 1. It’s All About Calories

    First, the bad news. Weight gain and loss is directly tied to the amount of calories you eat versus the calories you expend through exercise. What’s a calorie?

    A calorie is a unit of heat energy. Specifically, it’s the amount of heat energy required to raise 1 gram of water by 1 degree Celsius. How this relates to your body is that when you eat food, the food molecules are broken down chemically and that energy is either used by your body to perform work (like building muscle, or constructing new cells) or is stored (as fat). If you take in more calories than you burn, you will start to get fat.

    Now, in the world of calories, it takes 3500 calories to equal one pound of body weight. So, if you take in an extra 3500 calories in your diet this week without exercising, congratulations… you’ve just gained one pound (probably all body fat). The good news is that you can lose one pound of fat by either removing 3500 calories from your diet, or adding 3500 calories of exercise to your weekly schedule, or a combination of the two.

    What’s 3500 calories? It’s actually not much if you’re eating the wrong kinds of food. You can consume 3500 calories in one meal if you eat two Double Whoppers (1010 calories each), a King Size order of french fries (590), a King Size onion rings (600), and a chocolate shake (440). Don’t laugh… this is what I used to eat for dinner if my family went to Burger King… or something similarly outrageous.

    So the bottom line here is that if you want to lose weight, you have to create a calorie deficit. That means you have to burn off more calories than you eat. You had to eat more calories than you burned to get fat… now you have to reduce the calories to get lean. It’s that simple. In order to know how many calories you’re taking in and burning off, you need to write them down.

    Tip 2. Eat Frequently Throughout the Day

    Think of your body as a furnace. You want your furnace to burn fuel as efficiently as possible. In order for that to happen, you need to let it burn hot and steady throughout the day.

    You need to stoke your fire often to keep it burning. Keep your metabolism running all day long by eating every 3 to 4 hours. My personal tip: I eat on hours evenly divisible by 3. That means breakfast at 9am (if I’m up that early), lunch at noon, a snack at 3pm, dinner at 6pm, a snack at 9pm, and if I’m still up another snack at midnight.

    Now, I personally work late (I usually get most of my “real work” done between the hours of 10pm and 2am) but if you need to eat at different hours, that’s fine… Just take the total number of calories you’re going to eat throughout the day and divvy them up into 3-hour intervals. Keep that fire stoked! If you can’t take a break at work to eat every 3 hours, bring a protein bar with you.

    If you skip breakfast, then you’re extremely hungry by the time lunch comes around. Skip lunch, and you’re more likely to gorge yourself at dinner. Why? Your body is saying, “Hey! I need food badly!” If you feed yourself often, throughout the day, your body doesn’t go into shock, and you won’t get those wild cravings and hunger pangs when it’s time to eat.

    Tip 3. Start a Food & Exercise Journal

    Don’t just dismiss this section. I did! The first couple of times I read about doing this in fitness and weight-loss books, I said to myself, “I don’t have the time to do this.” But you know what – it really works!

    I cannot stress how important it is to write everything down that you eat. All you need is a little notebook. Make four columns: what you ate, how much of it you ate, how many calories were in it, and what time of the day you ate it. It’s that simple. Also write down any exercise or other activities that are more strenuous than just sitting around.

    Taking the time to recognize what you’re eating is the first step to losing weight. A lot of people truly don’t realize how much crap they’re eating. When I first started doing this – and writing down everything I was eating – it really opened my eyes to the volumes of junk food I was eating before. I was a slave to cookies, chocolate, chicken wings, and pizza. When I first took the time to look up the fact that a chicken wing has 150 calories in it (yes, one wing), I was astounded. I used to eat 20 wings and 2 or 3 slices of pizza for dinner.

    Now you can get yourself one of those little calorie counter booklets from your favorite book store. Sometimes you’ll even see them in the grocery store. They’re invaluable. Once you get to know the foods you eat on a regular basis, keeping track of what you eat is really quite simple. You will gain a better appreciation for what you’re putting in your body.

    So please, please, please, take my advice and journal everything you eat. You do NOT have to do this for the rest of your life… just until you hit your goal weight. By that time, you’ll be able to keep a good mental track of what you’re eating, and you’ll be more aware of what you should eat, and how much exercise you should be getting every week.

    Also, you do not have to obsess over every little calorie! Counting your calories can be as detailed as you like. If you want to track every last celery stick, by all means do so. However, you can just round your calories off to the nearest 10, or 20. Don’t worry whether or not something contains 24 or 26 calories. In the end, it doesn’t make that much of a difference… but whether something has 100 or 200 calories does.

    The important thing… and I cannot stress this enough… is write everything down!

    Tip 4. Eat The Right Amount of Calories

    We’re not going to starve ourselves! In fact, proper weight loss is best accomplished by eating more frequently than you’re probably used to! Let me say that again: you’re going to eat more food than you are right now. You’re going to eat better food, more often, but at a lower calorie intake. If you’re like I used to be, you’re probably skipping breakfast. This means that when lunchtime comes around, you’re starving, so you probably overeat the wrong kinds of food (like pizza, wings, Chinese, etc.) for lunch – and I’ll bet it’s fast food or takeout. Then, you don’t eat anything again for six to eight hours, and pack in a monster dinner.

    Now here’s what happens: your body isn’t getting any food first thing in the morning, so your metabolism isn’t getting started. Your “calorie-burning fire” doesn’t get started in the morning, so you’re not really burning as many calories as you should be. Also, your body is saying, “uh, oh – I’m not getting any food. I better hold on to whatever body fat I can because we’re starving!” This is bad. If you don’t eat enough food, often enough, your body will basically go into starvation mode and hang on to whatever body fat it can.

    The key to unlocking your stored fat is to feed yourself enough good food so that your body doesn’t need to store any additional fat, while at the same time getting plenty of exercise and strength training to burn whatever fat you currently have and build muscle.

    There are a bunch of factors that go into calculating metabolic rates and all that jazz, but you can use this chart as a basic measurement of how many calories you should be eating as part of your weight-loss diet. Notice it’s based on your current weight and your gender. Women need fewer calories then do men. Also, if you’re a smaller person, you need less energy than a larger person. Use this chart to determine how many calories you should be eating on a daily basis.

    WOMEN

    Under 130: 1000 Calories

    130-150: 1200 Calories

    151-200: 1400 Calories

    201-250: 1600 Calories

    251-300: 1800 Calories

    301-350: 2000 Calories

    351-400: 2200 Calories

    MEN

    Under 130: 1200 Calories

    130-150: 1400 Calories

    151-200: 1600 Calories

    201-250: 1800 Calories

    251-300: 2000 Calories

    301-350: 2200 Calories

    351-400: 2400 Calories

    Now here’s something that’s vitally important… you want to make sure you get enough calories every day, otherwise your body will go into “starvation” mode. You want to make sure that you eat your meals at least four times a day to keep your metabolism running. If you don’t eat, your body will go into starvation mode. It will realize that it’s not getting enough food, and will hold on to body fat. It’s important to get enough calories spaced throughout the day to keep your fire stoked. Don’t think that by starving yourself you’re going to lose weight. It will be the wrong kind of weight. Remember, your body will eat it’s own muscle tissue first before burning fat if it doesn’t have enough protein.

    Tip 5. Send Yourself to Boot Camp

    Now, if you want to jump start your body on its way to fast weight loss, here’s what you’re going to do. Ignore the charts above, and drop yourself right down to a 1000-calorie-per-day diet immediately. In addition, make sure you get at least 15 minutes of walking (or some other easy, basic, extra exercise) in every day as well.

    You will do this for exactly two weeks… no more… no less. Then, you will go back to eating the normal amount of calories as indicated on the chart above.

    It’s not going to be easy. You won’t be able to eat any junk food for these first two weeks. You can, however, eat plenty of good foods – chicken, salads, whole grain breads, etc. It won’t be easy, but once you get through it, you’ll be able to add lots of calories back in to your diet, and feel more normal again… in fact, after eating only 1000 calories for two weeks, you’ll probably have a hard time bringing yourself back up to 2000 calories (or whatever you should be at).

    Here’s why this works: dropping your calorie intake down to 1000 calories will shock your body into new eating habits. You will cleanse your body of toxins (like those monster grease burgers you’ve been eating) and get some good, healthy food in you. You will notice weight loss after the first couple of days, but you’ll be keeping your energy up by eating good foods at regular intervals. You can stop any cravings you’re having with water, or add some extra veggies in there – you can eat just about as much green vegetables as you want.

    Tip 6. Don’t Think “Fat Free” Means “Calorie Free”

    Everywhere you look, it seems that “low fat” foods abound. While there are certain low-fat or no-fat foods that we are going to eat, you don’t want to restrict yourself to a totally no-fat diet. There are certain fats that are good fats, and other that are bad fats. We’re going to want to eat good fats because they are necessary for proper health. Bad fats, however, will make you fat.

    There are tons of fad “no-fat” diets out there that have promoted the whole “low-fat” mentality. What’s happened? People are still continuing to get fat eating “fat-free” foods. They eat fat-free cookies, fat-free chips, and fat-free dairy products, yet they keep getting fatter. Why? Many fat-free foods have nearly as many calories as their full-fat versions.

    Now, you start eating “fat free” potato chips thinking to yourself that you can splurge… hey, why not? They’re “fat free.” Well, you still load on the calories with fat-free potato chips. It’s the calories that make you fat. In fact, when food manufacturers remove fat from their products, often times they replace the fat with sugar to improve the taste. Guess what… by adding sugar, they’re bringing the calorie count almost back up to where the full-fat product was.

    We need fat. Fat forms lining of the cell membranes in almost every cell of our bodies. Your brain is composed primarily of fat. If you don’t eat enough of the right kinds of fat, your brain will not get the proper nutrition to function. Eating too little fat can also reduce your testosterone levels (equally important for women as for men).

    Tip 7. Know Your Fats

    Saturated Fats are bad for you. They are found mostly in beef, milk, cheese, deli meats, butter, and some tropical oils. Saturated fats increase your risk of coronary artery disease, diabetes, and obesity. Avoid or minimize saturated fat intake. Try to eat low-fat meats like chicken and turkey without the skin, and reduced-fat dairy products. If you’re eating red mean, get the lowest-fat, leanest meat you can.

    Trans Fats are saturated fats that are extremely bad for you. You should completely eliminate all foods with trans fats in them from your diet. These types of unnatural fats are created during food manufacturing processes such as the hydrogenation of vegetable oil. They are usually found in pastries, buns, chips, doughnuts, shortening, and other such foods. If the label says “trans fat” put that product back on the shelf. If the ingredients of any product say “partially hydrogenated” anywhere on it – put it back. One example: margarine! It’s evil. It’s loaded with trans-fatty acids. Avoid it at all costs. Also avoid vegetable shortening, commercial pasties, deep-fried food, and most prepared snacks, mixes, and convenience foods.

    Studies have shown that saturated and trans fats are actually addictive and make you want to eat more. They have also been linked to all kinds of health problems from cancer and heart disease to diabetes.

    Unsaturated Fats, on the other hand, are generally good for you. These types of fats are usually found in nuts, seeds, fish, and grains. Mono-unsaturated fats, such as the types found in olive and canola oil, will actually protect your cardiovascular system from disease. These are the types of fats we’re going to load into our diet.

    – Good fats: almonds, avocado, cashews, flax oil, olive oil, olives, peanut butter, peanuts, fresh fish (salmon, mackerel, tuna)

    – Bad fats: butter, coconut, corn oil, cream cheese, half-and-half, lard, mayonnaise, shortening, sour cream

    Keep in mind that you need fats in your diet, but even the good fats listed above have a good amount of calories in them – so take it easy! A tablespoon of olive oil, for example, as 100 calories. Almonds (which I love to snack on) have 6 calories a piece. Nuts are a great, healthy-fat snack – but just make sure to take a small handful not the whole bag!

    Tip 8. Add Omega 3 Fatty Acids to Your Diet

    Omega fats are unsaturated fats that are not only good for you, but they’re essential for your health. Your body cannot create these fats, so you must get them totally from your diet. Omega fats are helpful for many reasons, plus they are necessary for normal cell growth and development.

    First, Omega fats are an excellent appetite suppressant. Part of the reason why people binge on “fat-free” foods is because fat is what makes your stomach “feel full.” If you aren’t eating any fat in your meal, your stomach never tells your brain that you’re full. Add a little good fat to your meal, and you’ll feel full with less food.

    Eating Omega fats helps your body to unlock stored fat so that you can use it for energy. Omega fat balances your body’s ratio of insulin to glucagon. When you eat sugary foods, your body releases insulin to remove the excess sugar from your system. If you do this too often, the insulin will block the hormone glucagon – which is another hormone that functions to help your body burn fat. Too much sugar = too much insulin = not enough glucagon = little fat burning. Plus, you are at risk for diabetes. Omega fats help to balance this ratio.

    Omega fats help to boost your body’s metabolic rate. This also helps you to burn more calories. Omega fats are the building blocks of your cells. Your cell membranes consist of Omega fats. Since they cannot be created by the body, you must get them from your diet.

    A specific fat, Omega 3 Fatty Acid, is obtained from flax seeds or flax seed oil. This will be the primary fat that we’ll add to our meals. You can use it on salads and in breads, add it to soups and yogurt. Don’t cook with it, however, as the heat will change it’s chemical properties. You will also find good doses of Omega 3 in most seafood, green leavy vegetables, fatty fish (salmon, tuna, trout, mackerel), walnuts, olive, and canola oil.

    Have fish for dinner at least twice a week – and I don’t mean your beer-battered, fried haddock that the local pub serves on Fridays. Pick a fish like salmon, tuna, or mackerel. Bake or grill them – don’t fry them. They have very high concentrations of Omega 3 fatty acids in them. Add flax oil to your salads instead of fatty dressings. Snack on walnuts or almonds instead of cookies and chocolate. You will feel full sooner, and you’ll be adding essential fatty acids to your diet to help burn calories!

    Tip 9. Get Plenty of Protein

    Proteins are the building blocks for your body. You need to eat lots of protein for your body to build, repair, and maintain your muscle and other lean tissues. If you don’t eat enough protein, your body will break down muscle tissue, which is bad, to maintain itself. As a result, your metabolism will slow, and you won’t burn body fat. Unlike fat or glucose, there’s nowhere in our bodies to store protein (aside from building muscle tissue) so you have to get a lot from your diet.

    How much protein should you eat? Most people should eat about 0.4 to 0.8 grams of protein per pound of body weight. Therefore, if you weigh 200 pounds, you should be eating between 80 and 160 grams of protein per day. This isn’t hard to do. Eat two eggs for breakfast, and an 8-ounce serving of chicken for dinner, and you’re at 60 grams of protein right there.

    What kinds of protein should you eat? I like fish, chicken (white meat), turkey (white meat), soy products, beans, legumes, and eggs (whites only – yokes have a lot of fat). Soy products are a great source of protein… once you get used to the taste. I have totally switched from regular milk to soy milk. It has all the calcium, much less of the saturated fat, and none of the cholesterol of normal milk (even skim milk!)

    Eat fish twice a week, chicken twice a week, turkey once a week, a vegetarian meal once a week, and then on that seventh day, go ahead and splurge with the pork or beef… just take it easy. Just make sure you choose lean sirloin cuts. Trim off any fat. Beef has a lot of saturated fat in it (it’s marbled throughout the meat so you can’t just cut it off). Beef is the worst meat for you – as compared to the other popular meats.

    – Good protein: beans (any kind), eggs (preferably whites – yolks have a lot of fat), chicken (white meat, no skin), turkey (white meat, no skin), salmon (preferably not farmed), tuna (packed in water, not oil), mahi mahi, any shellfish, any soy products.

    – Bad protein: bacon, ham, hot dogs, beef, pork, lamb, veal.

    In part 2 of this article, you’ll read about nine more tips to lose weight.

    [ad_2]

    Source by Richard Rost

    Views: 0

  • Shock – When There Is No Doctor

    [ad_1]

    A person who has suffered severe injury is at risk of developing shock – a steadily worsening condition that can be described as a “running down of life forces”.

    First aid can minimize the development of shock if the possibility is recognized well in time. In fully developed shock, minimal first aid is possible, but it is still important until the victim can be got to a medical facility.

    In medical terminology, ‘shock’ refers not to an emotional upset, but to a physical condition – a failure of the heart to provide adequate circulation to all parts of the body. It is caused by a loss of blood fluid, typically following severe injury.

    When there is severe bleeding, the reduced volume of blood in the body results in a weakened heartbeat and inadequate supply of oxygen and other nutrients to the tissues. In particular, the centres in the brain which regulate respiration, heart action and blood pressure no longer work adequately. A vicious circle is therefore set in motion.

    TYPES OF SHOCK

    Below are the situations that can cause different types of shock:

    Hemorrhagic Shock

    also called ‘bleeding shock’. This is the most common form of serious shock resulting from the loss of blood, as in burns/crushing injuries. The bleeding may be internal or external. If the person is in a state of dehydration or is sweating profusely, it can hasten the onset of shock. This can typically happen if a burns/crushing injury occurs in a workplace of high temperature.

    Cardiogenic Shock

    Also called ‘heart shock’. It results from a failure of the heart to pump blood adequately to all parts of the body. Typical causes are: electrical shock, heart attacks and injury to the heart. Diseases like low blood pressure and oedema of the ankles, if untreated, may do enough damage to cause cardiogenic shock.

    Neurogenic Shock

    Also called ‘nerve shock’. It results from the failure of the nervous system to control the diameter of the blood vessels. The blood vessels dilate beyond the point where the available blood can fill up the new volume. Blood no longer fills the system adequately, but pools in the blood vessels in certain areas of the body.

    Typically, this kind of shock is due to nerve paralysis caused by spinal cord or brain injury. Severe blows to the abdomen can also disrupt the nerves, bringing about neurogenic shock.

    Respiratory Shock

    Also called ‘lung shock’. This results from a failure of the lungs to provide enough oxygen for circulation to the tissues. Watch out for it in cases of fractured ribs or sternum, deep chest wounds, neck/spinal cord injury or airway obstruction.

    Metabolic Shock

    Also called ‘body fluid shock’. It may occur in cases of severe diarrhoea, vomiting or polyuria (excessive urination). These conditions cause the loss of fluids from the bloodstream.

    Anaphylactic Shock

    Also called ‘allergy shock’. This is a life-threatening reaction of the body to an allergen (something to which the person is extremely allergic).

    SYMPTOMS & SIGNS

    The most significant symptom of shock is:

    • Weakness

    Other symptoms may include:

    • Nausea
    • Thirst
    • Dizziness
    • Coolness
    • Restlessness and fear

    The signs to look out for are:

    • Profuse (external) bleeding
    • Vomiting
    • Fainting/Lack of responsiveness
    • Rapid and weak pulse
    • Rapid and shallow breathing
    • Marked drop in blood pressure (as low as 90/60, or below)
    • Pale, moist and cool skin. Often profuse sweating
    • Lacklustre eyes, dilated pupils
    • General restlessness

    It’s important to remember that, immediately after serious injury (for example), the victim may appear tough and resistant, but that, inside him, the machinery of shock may have been set in motion. It may be a matter of some minutes before he shows the typical signs, or it may be several hours.

    FIRST AID FOR SHOCK

    A person in shock must be got to medical attention urgently. In the meanwhile:

    • Ensure an adequate airway (if the person is breathing), by positioning his head properly. If he is not breathing, provide mouth-to-mouth resuscitation.
    • Control the bleeding. Direct pressure on the injury site is the quickest and most efficient way to do this. Do not waste time hunting for a dressing – use a finger or hand directly over the wound, and maintain pressure until the bleeding is stanched. (Even though you may be contaminating the wound, the risk of uncontrolled bleeding far outweighs that of possible infection. The loss of blood volume is particularly life-threatening for a person in shock.)
    • Keep the patient warm. The aim is to keep his body temperature as near to normal as possible. Remove any wet clothing if possible, and wrap the patient loosely in blankets or in an overcoat. But do not allow the patient to overheat: the extra heat may draw to the skin’s surface a large volume of blood from the depths of the body where it is needed for the essential organs of life. Do not move patients with head/neck/spine injuries in order to place a blanket under them.
    • Ensure rest and position. Treat the patient where he is (except if you’re in a danger zone – fire, fumes, collapsing building, etc.) The more at rest a shock patient remains, the better his chances of survival. Avoid rough or excessive handling, since body motion has a tendency to aggravate shock. In particular, beware of moving a patient who may have a fracture – especially if his back is involved. If there are serious injuries to the extremities, keep the patient flat on his back. If the patient is conscious, but appears to have respiratory or heart problems, he may be most comfortable (and breathe more easily) in a semi-reclining position, with his head raised a little.
    • Give nothing by mouth. Do not give food/medications or even tea or coffee by mouth. The patient may vomit, in which case anything he brings up may be aspirated into his windpipe and choke him.
    • Reassure the patient. Reducing mental anxiety plays a great role in warding off shock. Talk to the patient with calm confidence, explaining your actions as reassuringly as possible. Tactfully but firmly clear away any agitated or demoralizing bystanders.

    Finally, remember that in situations where shock is a distinct possibility (such as significant blood loss), it is advisable to carry out all the above steps, even if the patient’s condition seems quite stable. The bottomline is: when in doubt, treat for shock.

    [ad_2]

    Source by Andy G

    Views: 0