In the early stages, shock requires immediate intervention to preserve life. Therefore, the early recognition and treatment depends on the transfer to a hospital.

  1. Immediate reassurance and comforting the casualty if conscious.
  2. Ensure the patency of the airway and assess breathing. Position in the recovery position if able.
  3. Attempt to stem any obvious haemorrhaging.
  4. Cover the patient with a blanket or jacket, but not too thick to cause vasodilation.
  5. Do not give a drink, moisten lips if requested.
  6. Prepare for cardiopulmonary resuscitation.
  7. In case of respiratory insufficiency (i.e. diminished levels of consciousness, hyperventilation due to acid-base disturbances or pneumonia) intubation and mechanical ventilation may be necessary.
  8. Raising the blood pressure to be able to transport "safely" (when the blood pressure is too low, any motion can lower the heart and brain perfusion, and thus cause death).
  9. Respecting the golden hour. If surgery is required, it should be performed within the first hour to maximise the patient's chance of survival.