Mechanism of Pediatric Shock and the Stepney Analogy
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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.
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This work is licensed under a Creative Commons Attribution 4.0 International License.
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.