Which is NOT a step in managing an adult patient in shock?

In managing an adult patient in shock, administering cold liquids is not an appropriate step. When treating shock, the primary goal is to stabilize the patient's condition and improve perfusion to vital organs. Cold liquids are generally contraindicated in shock because they can potentially exacerbate hypoperfusion by causing vasoconstriction, which reduces blood flow. Instead, warmer intravenous fluids are often administered to help maintain body temperature and improve circulation.

On the other hand, administering high-flow oxygen is crucial, as it ensures that the patient is receiving an adequate supply of oxygen, which is often depleted during shock. Positioning the patient supine is important for maximizing blood flow to vital organs, while controlling any obvious bleeding directly addresses the underlying causes of shock and helps to prevent further deterioration of the patient's condition. These measures are all essential components of effective shock management, while providing cold liquids does not align with the current clinical protocols for handling a patient in shock.