Shock First Aid Tips Please note that the source for these first aid instructions is the American Red Cross. Different signs, symptoms, and their causes may dictate different treatments. When in doubt, always call 911 first; the Fire and Emergency Medical Services call taker is prepared to give you instructions over the phone. Shock: First Aid at a Glance Signs and Symptoms First Aid Skin pale (or bluish), cold to touch possibly moist or clammy Victim weak Rapid pulse (over 100) Rate of breathing usually increases may be shallow or deep and irregular All victims, call 911. Keep victim lying down. Cover him only enough to keep him from losing body heat