Fluid is always the initial treatment of shock, especially since concomitant hemorrhagic shock must be excluded following trauma. Most institutions will additionally utilize pressor agents to achieve hemodynamic stability.
Dopamine (Intropin) is often used either alone or in combination with other inotropic agents.
Vasopressin (antidiuretic hormone [ADH])[4]
Certain vasopressors (ephedrine, norepinephrine). Phenylephrine may be used as a first line treatment, or secondarily in patients who do not respond adequately to dopamine.
Atropine (administer if bradycardia is severe.)