What is the first step in the management of shock?

The first step in the management of shock is to establish the ABCs, which refers to the assessment of Airway, Breathing, and Circulation. This approach is essential because shock can lead to significant deterioration in these vital functions. Understanding a patient's airway status ensures that they can breathe adequately; evaluating breathing assesses whether the patient is getting enough oxygen, and examining circulation helps determine the effectiveness of the heart's ability to pump blood.

In the context of managing shock, prioritizing the ABCs allows responders to quickly identify and treat any immediate life-threatening conditions. Once the ABCs are stabilized, further assessments and interventions can follow, such as medication administration or pain assessment. This systematic approach ensures that the most critical and life-sustaining functions are addressed first, reverting focus to the physiological needs of the patient in a time-sensitive situation.