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Warning-sign checks

Hypovolemic shock: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Suspected hypovolemic shock is always an emergency.

    Call emergency services if someone has major bleeding or fluid loss together with fainting, confusion, severe weakness, rapid breathing, cool clammy skin, or a fast weak pulse.

    Follow instructions from the emergency call handler

    New fainting, confusion, heavy bleeding, breathing difficulty, or rapidly worsening weakness is not a routine follow-up issue and needs urgent emergency assessment.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Do not wait for blood pressure to fall.

  3. 3

    Does any of this apply?

    Book an appointment

    Routine follow-up is appropriate after discharge for ongoing tiredness, anemia checks, wound review, kidney monitoring, or management of the original cause.

The article also says

While waiting for help:

Apply firm, continuous pressure to an external bleeding wound

Keep the person still and warm if it is safe to do so

Do not give food or drink, especially if they are confused, vomiting, or may need surgery

Do not leave them alone

Every sign above is quoted from the sofidex article on Hypovolemic shock. If you are not sure, err upward — it is always reasonable to be checked.