Causes of shock Shock usually occurs due to severe internal or external bleeding. This leads to a decrease in circulating blood volume, which reduces the flow of oxygen to vital organs. Other types of loss of body fluids, such as diarrhea, vomiting, or large burns, also cause shock. Shock is a condition that is life-threatening and can lead to death. Signs and symptoms of shock Signs and symptoms of shock are similar to those seen with severe internal or external bleeding: • pale, cold and damp skin; • weakness; • anxiety; • dry mouth, thirst; • weak, rapid pulse; • rapid breathing; • confusion; • fainting state. Remember that to provide first aid to the victim, it is not necessary to know the cause of shock or identify bleeding. In any situation, follow the basic principles of first aid: 1. Maintain normal body temperature