Published Paper Details:

Abstract Shock is described as a condition in which progressive failure of the body functions is observed; resulting from surgical operations, trauma, wounds, intoxication or infections. Most of the time this condition is more or less rapidly leads towards death. It is a patho-physiological state in which there is a significant systemic reduction in tissue perfusion resulting in decreased tissue oxygen delivery. Which in due course leads to an irreversible cell and tissue death and ultimately results in end-organ damage, multi-organ failure and death. Causes of shock may vary from hypovolemia to spinal cord injury. Whatsoever the cause it ultimately end up in the circulatory failure causing death. Since ancient time Aacharya Sushruta; popularly known as the father of surgery was very well aware of in human being. (Aacharya Sushruta: the father of surgery has written in depth about different factors responsible for death.) He has not only described importance of blood but also mentioned the measures to arrest bleeding. It shows that he was very well aware about the fact that severe haemorrhage may lead to death by hypovolemia. Also while describing complications of traumatic wounds Aacharya Sushruta has mentioned the signs and symptoms of shock. This ultimately proves his expertise in clinical knowledge. As Sushruta has dedicated most of his compendium to surgical part of treatment, he has mentioned certain vital spots in the body which must be protected while performing any surgical or para surgical procedure. Moreover, he has also written a full text on vital spots which must be protected from any kind of injury. Such spots are termed as Marma. All vital spots do not always cause death when injured. Some may cause deformity or severe pain. When we consider death by shock we must emphasize only on the Marma or fatal spots which cause death when gets injured. This article is written to elaborate the anatomical and physiological aspects of shock especially due to injury to certain fatal spots causing death.