M O N T H LY C O L U M N
EYEONSAFETY
BY MICHAEL PLACE
Michael Place serves
as a training director for
Dakota Supply Group and
is chairman of the ASA
Safety Committee, which
produces the Eye of Safety
column each month.
N O V E M B E R 2 0 1 5
Shock: Life
and death
Bill, a forklift operator for a local warehouse, isn’t
feeling well. He has Type 2 diabetes and his sugar levels are bot-
toming out.
He’s sweating profusely and feels lightheaded. A
coworker comes over to ask Bill a question but the words
aren’t making sense. Looking confused and disoriented, Bill
unexpectedly lurches forward and falls to the ground at the
feet of his coworker. In moments, he is unconscious and
his breathing becomes erratic. Bill has fallen into a diabetic
shock. The coworker has no idea what to do and precious
seconds tick away as he struggles in vain to wake Bill. After
losing vital response time, the worker finally grabs a phone
and dials 9-1-1.
Shock is a life-threatening condition that requires
immediate medical treatment. It occurs when the body fails
to provide enough blood flow to vital organs. Lack of blood
flow causes oxygen and nutrition deficiency in cells and
organs which can lead to organ failure, and in some cases,
even death. According to the National Institute of Health’s
MedlinePlus website, as many as 20% of shock victims do
not survive.
For first responders, it is important to understand four
critical factors – (1) the types of shock conditions that exist,
(2) the events that cause shock, (3) how to recognize the
signs and symptoms, and (4) how to respond.
Shock is a life-
threatening condition
that requires immediate
medical treatment.
There are six main types of shock – neurogenic shock
(damage to the nervous system), anaphylactic shock (severe
allergic reactions), hypovolemic shock (low blood volume),
cardiogenic shock (heart-related), hypoglycemic shock (low
blood sugar levels) and septic shock (due to infections).
With all shock situations, the condition can spread quickly
throughout the body. Response time is critical.
As the nomenclature implies, neurogenic shock arises
from damage caused to the nervous system. Injuries to the
brain and/or spinal cord are most likely to cause this type of
shock. Severe concussions, physical damage to brain tissue
and injuries to the cervical or thoracic parts of the spine are
all examples of injuries that can lead to neurogenic shock.
Anaphylactic shock is caused by anaphylaxis, which is
a life-threatening type of allergic reaction. Anaphylaxis
is a whole-body reaction to an allergen such as bee sting
or spider bite venom. Some drugs such as morphine and
aspirin also can cause anaphylactic-type reactions when a
person first is exposed to them.
Hypovolemic shock is caused by blood loss. It occurs
when there isn’t enough blood in the body for the heart to
pump appropriately. This type of shock often leads to heart
problems and can result from internal or external bleeding.
W W W . S U P P L Y H T . C O M 107
 M O N T H LY C O L U M N

EYEONSAFETY

Cardiogenic shock stems from heart-related If not treated, coma can occur. Diabetes is a septic shock. Fungus, viruses and high toxicity
issues such as heart attack, heart failure and the disorder that is commonly associated with levels also can cause septic conditions to arise.
complications that arise from those conditions. hypoglycemic issues.
It occurs when the heart has been so severely Septic shock is the result of an infection TAKE ACTION
damaged that it cannot supply enough blood to that spreads throughout the body. This type Recognizing the signs and symptoms of shock
organs in the body. of shock condition leads to dangerously low can be difficult because they can differ from
Hypoglycemic shock is a condition arising blood pressure. Septic shock mainly occurs in person to person and can mimic the symptoms
from low blood sugar levels. Victims should the elderly and young children but can happen of other health issues. In general, one of the
raise their blood sugar level quickly because to anyone, especially those with weakened more noticeable symptoms of shock relates
the brain is very susceptible to this condition. immune systems. Any type of bacteria can cause to a person’s skin. A victim typically has cold
and clammy skin. In some cases, it will have a
bluish coloring which is especially noticeable
Statement of Ownership, Management, and Circulation (Requester Publications Only) on the lips and fingernails. Other signs include
Publication Detail
1 Publication Name SUPPLY HOUSE TIMES/BNP MEDIA II LLC
chest pain, anxiety, inability to urinate properly,
1 Publication Number 525630
2 ISSN 395935 shallow and raspy breathing, dizziness, a rapid
3 Filing Date 09/29/2015
4
5
Issue Frequency
Number of Issues Published Annually
MONTHLY
12
but weak pulse, profuse sweating, confusion,
6 Annual Subscription Price 123.00
7 Complete Mailing Address of Known Office of Publication 2401 W BIG BEAVER RD STE 700 mumbling and lightheadedness. If you notice
7 TROY, OAKLAND, MI 48084-3333
7
7
Contact Person
Telephone
WAFAA KASHAT
(248) 786-1631
these symptoms, call 9-1-1. Be prepared to give
8 Complete Mailing Address of Headquarter or General Business Office of Publisher "2401 W. BIG BEAVER RD., STE. 700"
8 TROY, MI 48084-3333 basic life support if needed.
9 Publisher (Name and complete mailing address) ROBERT MIODONSKI
9 "155 N. PFINGSTEN RD., STE. 205" Always check the victim for responsiveness,
9 DEERFIELD, IL 60015-5293
9
9
Editor (Name and complete mailing address) MICHAEL MIAZGA
"155 N. PFINGSTEN RD., STE. 205"
irregular breathing patterns and any signs
9 DEERFIELD, IL 60015-5293
9 Managing Editor (Name and complete mailing address) NONE of bleeding or injuries. Look for a bracelet or
9 NONE

Owner
necklace that may indicate a specific medical
10 Line Full Name Complete Mailing Address
10 1 BNP MEDIA II, LLC 2401 W. BIG BEAVER RD., STE 700, TROY, MI 48084-3333 condition. If life-threatening conditions are
10 2 TAGGART E. HENDERSON 2401 W. BIG BEAVER RD., STE 700, TROY, MI 48084-3333
10
10
3
4
HARPER T. HENDERSON
MITCHELL L. HENDERSON
2401 W. BIG BEAVER RD., STE 700, TROY, MI 48084-3333
2401 W. BIG BEAVER RD., STE 700, TROY, MI 48084-3333
noticeable, make the 9-1-1 call.
Known Bondholders, Mortgagees, Other Security Holders Critical health issues such as severe bleeding
11 Line Full Name Complete Mailing Address
should be treated first. If there is no evidence
13 Publication Title SUPPLY HOUSE TIMES/BNP MEDIA II LLC
14 Issue Date for Circulation Data Below 09/01/2015
of trauma, the victim should lie down and
Average No. Copies Each No. Copies of Single Issue then raise his or her legs 6 to 12 in. Support
Issue During Preceding 12 Published Nearest to Filing
15
15a
Extend and Nature of Circulation
Total Number of Copies (net press run)
Months
26592
Date
26544
the raised legs to ensure they maintain the
Outside County Paid/Requested Mail Subscriptions stated on PS Form 3541. (Include direct
written request from recipient, telemarketing and Internet requests from recipient, paid elevated position. If the victim is unconscious
subscriptions including nominal rate subscriptions, employer requests, advertiser's proof copies,
15b1 and exchange copies.)
In-County Paid/Requested Mail Subscriptions stated on PS Form 3541. (Include direct written
19734 19602 or vomiting, turn the person’s head to ensure
request from recipient, telemarketing and Internet requests from recipient, paid subscriptions
including nominal rate subscriptions, employer requests, advertiser's proof copies, and exchange drainage from the mouth. Loosen any tight
15b2 copies.) 0 0

15b3
Sales through Dealers and Carriers, Street Vendors, Counter Sales, and Other Paid or
Requested Distribution Outside USPS 40 11
clothing and, if necessary, maintain the victim’s
15b4 Requested Copies Distributed by Other Mail Classes Through the USPS (e.g. First-Class Mail) 0 0
15c Total Paid and/or Requested Circulation 19774 19613 body temperature by covering him or her with
Outside County Nonrequested Copies stated on PS Form 3541 (include Sample copies, a blanket or coat. Do not let a shock victim eat,
Requests Over 3 years old, Requests induced by a Premium, Bulk Sales and Requests including
15d1 Association Requests, Names obtained from Business Directories, Lists, and other sources) 5646 5719
drink or smoke. Finally, stay with victim to offer
In-County Nonrequested Copies stated on PS Form 3541 (include Sample copies, Requests
Over 3 years old, Requests induced by a Premium, Bulk Sales and Requests including reassurance and comfort until help arrives.
15d2 Association Requests, Names obtained from Business Directories, Lists, and other sources) 0 0
Nonrequested Copies Distributed Through the USPS by Other Classes of Mail (e.g. First-Class
Mail, Nonrequestor Copies mailed in excess of 10% Limit mailed at Standard Mail or Package
These tips can save a person’s life. For
15d3 Services Rates) 0 0
Nonrequested Copies Distributed Outside the Mail (include Pickup Stands, Trade Shows, more information, check out the Toolbox Talk
15d4 Showrooms and Other Sources) 293 291
15e
15f
Total Nonrequested Distribution
Total Distribution
5939
25713
6010
25623
at www.asa.net. You also can contact a local
15g Copies not Distributed 879 921
15h Total 26592 26544 medical or emergency services provider for
15i Percent Paid and/or Requested Circulation 76.9 76.54

16 If total circulation includes electronic copies, report that circulation on lines below
more resources.
16a Requested and Paid Electronic Copies 2677 2727
16b Total Requested and Paid Print Copies (Line 15c) + Requested/Paid Electronic Copies 22451 22340
16c Total Requested Copy Distribution (Line 15F) + Requested/Paid Electronic Copies 28390 28350
16d Percent Paid and/or Requested Circulation (Both print & Electronic Copies) 79.08 78.8 Michael Place serves as a training director for
I Certify that 50% of all my distributed copies (Electronic & Print) are legitimate requests.

17 Publication of Statement of Ownership Publication of this statement will be printed in the 11/01/2015 issue of this publication
Dakota Supply Group and is chairman of the ASA
18 Signature and Title of Editor, Publisher, Business Manager, or Owner WAFAA S. KASHAT Safety Committee, which produces the Eye of Safety
18 Title Audience Audit/Postal Specialist
18 Date 09/29/2015 08:50:57 AM column each month.
Version PS Form 3526, September 2007

108 S U P P L Y H O U S E T I M E S N O V E M B E R 2 0 1 5
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