Not your typical 'Shock Talk', this presentation takes you on a journey through the varies types of Shock, traditional treatment modalities and introduces new and exciting advances in hypo-perfusion science, technology and approach.  Accidently uncovered while researching treatments for cardiac arrest, this Inthrathoracic Pressure Regulation technology is allowing new insight into how we care for the patient in Shock or hypo-perfusion.  From the first responder with basic life support training, to Military world wide, to the ALS Paramedic in the field and directly into the hospitals; this ground breaking technology is allowing for patients to increase perfusion and blood pressure in a safe, simple, afordable and regulated manner while being completely non-invasive.  Intrathoracic Pressure Regulation technology for circulatory enhancement can increase the sense of security to the communities and to the healthcare providers by knowing that the utalization of new technologies is offering a higher level of care at both the basic life support and the advanced life support levels. This technology, being used world wide, creates collaborative efforts that not only shape the future for tomorrow, but for generations to come.