Skip to 0 minutes and 0 secondsSo when we attend a patient that is potentially dehydrated or shocked, there's a number of things we look out for: dry mucous membrane, reduced tears, the patient might tachycardic or tachypnoeic, increased respiratory rate and a decreased skin tugor but they may also have a decreased or altered consciousness level, this may suggest that they are becoming less perfused leading to ultimately shock.

Lecture about shock

Most children with dehydration from a simple childhood illness will not get shocked, but remember we are dealing with undifferentiated patients here.

When you are dealing with these patients in the pre-hospital environment you don’t really know what you are dealing with until the situation unfolds. So the point is to understand the physiological differences between dehydration and shock and how both manifest clinically.

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This video is from the free online course:

Emergency and Urgent Care for Children: a Survival Guide

University of Birmingham