Cardiogenic shock - Treatment with drugs and surgery. Dial the emergency.

Treatment on the street or at home without aids in case of shock is impossible. Nothing can be recommended that is guaranteed to help.

Without professional intervention, aids and medicines, therapy is impossible.

If difficulties arise that could lead to a wide range of high-risk diseases, a  professional examination is necessary. In specific cases, such as heart attack or acute cardiac failure is desirable absolute peace, release tight clothing, seated position or in semi-seated position (ill her own interests, it is forced Orthopneic position).

The emergency medical service is called to number 155.

The number 112 is used in events where the intervention of several components of the IRS (Integrated Rescue System) is necessary, such as fire brigade, rescue service or police - traffic accident.

It is difficult for a layman and a person who cannot assess the condition to recommend even a suitable location. Improper positioning in pulmonary edema can worsen a person's health. Similarly for bleeding.

An absolutely unsuitable position in the case of pulmonary edema is the supine position.
The position during external bleeding can be anti-shock with the lower limbs raised - the so-called anti-shock position. 
The position of unconsciousness without the presence of breathing is lying on the back with the need to twist the chest - CPR.

In the case of cardiogenic shock, we do not see bleeding or any other cause. Professional intervention is needed.

Professional treatment

In her case, the goal is to support heart activity, stabilize blood circulation and respiration. Prevents deterioration and complications.

Drugs are used to support heart function - inotropic support, cardiotonic such as dopamine or dobutamine. Vasopressors with low blood pressure.

Oxygen therapy is important when oxygen is administered with an oxygen mask in a 100% concentration and at a flow rate of 8 - 12 liters per minute.

Painkillers such as morphine or fentanyl, anticoagulants - heparin, and other antiplatelet agents are also used. In case of swelling, diuretics or antiarrhythmics in case of arrhythmia.

If breathing is not sufficient or present, artificial lung ventilation - UPV is chosen. When the heart stops working, CPR - cardiopulmonary resuscitation, whose task is to replace the heart pump - also preserves at least partial blood flow to the brain and heart.

In case of myocardial infarction, coronary angiography is performed with congestion of the blocked vessel - revascularization treatment. Another form is, for example, BYPASS - coronary artery bypass.

Nowadays, mechanical support of the heart is also possible - it is referred to as Intraaortic balloon counterpulsation (pump) IAPC or IABP.

Prevention - always the best

Any cardiovascular disease reduces the quality of life. Even in this case, prevention is the best. Think about lifestyle changes, adequate exercise, do not smoke, limit alcohol intake, reduce salt and fat intake.

The need for rest, relaxation and avoidance of stress.

It is important to maintain normal blood pressure and adequate treatment for hypertension or diabetes.

Remember that if you have difficulty, a professional examination and timely treatment are always the best choice. However, this is not always possible, as a massive heart attack can be the first difficulty of full health.