Mechanism of Pediatric Shock and the Stepney Analogy

Main Article Content

Qadri Adebayo Adeleye

Abstract

Shock is a common paediatric emergency. A deep understanding of its mechanism is important for a favorable outcome. Use of analogy can be a useful teaching tool.


The stepney (spare wheeled-tire) is a widely known accessory in a motor vehicle. It serves as a temporary replacement for regular tires in emergency situations. Such a role is similar to the compensatory phase of shock.


The stepney analogy would be a useful learning aid for medical students and resident medical doctors. It would facilitate the understanding of shock pathophysiology and the need for prompt intervention.

Article Details

How to Cite
Adeleye, Q. A. . (2022). Mechanism of Pediatric Shock and the Stepney Analogy. International Journal of Medical Science and Clinical Research Studies, 2(07), 695–696. https://doi.org/10.47191/ijmscrs/v2-i7-18
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Articles

References

I. Pena GP, de Souza Andrade-Filho J. Analogies in medicine: Valuable for learning, reasoning, remembering and naming. Adv Heal Sci Educ. 2010;15:609-619.

II. Masukume G, Zumla A. Analogies and metaphors in clinical medicine. Clin Med J R Coll Physicians London. 2012;12:55-56.

III. Khilnani G, Khilnani AK, Thaddanee R. Learning pharmacology by metaphors: A tale of beta-blockers. J Pharmacol Pharmacother. 2017;8:172-175.

IV. Khilnani G, Khilnani A, Thaddanee R. Learning pharmacology by metaphors: A tale of aminoglycosides. Indian J Pharmacol. 2016;48:94-97.

V. Gooden BA. Drowning and the diving reflex in man. Med J Aust. 1972;2:583-587.

VI. Anderson M, Dawson E. Accidents and poisoning. In: Lissauer T, Carroll W, eds. The Science of Paediatrics. London, Elsevier; 2017:101-117.

VII. Robert T, Jessica G. Cardiology. In: Lissauer T, Carroll W, eds. The Science of Paediatrics. London, Elsevier; 2017:341-364.

VIII. David T, Ira C. Shock. In: Kliegman R, ed. Nelson Textbook of Pediatrics. 20th ed. Philadelphia, Elsevier; 2016:516-528.

IX. Lynn S, Michael M, David I. Paediatric emergencies and critical care. In: Lissauer T, Carroll W, eds. The Science of Paediatrics. London, Elsevier; 2017:79-100.

X. British Broadcasting Corporation. A history of the world: Stepney spare wheel, made for early cars. Accessed 29 April 2022. https://www.bbc.co.uk/ahistoryoftheworld/objects/qPgTiS8fQ6SeIqZLvZVfXQ

XI. Reimpell J, Stoll H, Betzler J. Tyres and wheels. In: Crolla DA, ed. Automotive Engineering: Powertrain, Chassis System and Vehicle Body. Elsevier; 2009:285-324.