So far, pulmonary embolism cause hemoptysis that much be found at internal medicine patient room or surgery patient room. This condition especially seen in geriatric patients that always lying on their bed because of heart failure or during operation time.

Outside of hospital, pulmonary embolism can be found on patient who just go out from the hospital after got surgery, at pregnant women, or women use contraception pill.

Neurogenic shock include on non-haemorrhagic shock. Neurogenic shock also called syncope. This shock happen because of abundant vasovagal reaction that lead to totally vasodilatation in sphlancnicus regio so that decrease cerebral vascularization. Vasovagal reaction is usually caused of hot environment temperature, fear, surprised, or pain. Neurogenic shock on trauma happen such as in spine injury, or the most seldom, brain stem injury.

This syndrome can be definited as the happening of thrombosis or recurrent miscarriage with laboratory evidence of antiphospholipid antibody existence that is not intermittent. One of antiphospholipid antibody is “lupus anticoagulant” that early detected on Systemic Lupus Erythematosus (SLE) patient and be identified with prolong plasma APTT that can not be corrected with mix normal plasma 50:50.

Dilute Russel viper venom test also used for diagnostic. Examination on solid phase and coagulation test for lupus anticoagulant must be used for antiphospholipid syndrome diagnostic. Not only at SLE disease but also at antiphospholipid syndrome disease found on other autoimmune disease, especially on connective tissue, lymphoprolipherative disease, postinfection of viral, with certain drugs such as phenotiazine, and idiophatic phenomenon on healthy person.

The injury because of hot temperature happen because of the body system can not overcome external temperature. Mild state syndrome happen when there is movement activity and the severe one happen when do not act movement.  Core body temperature more than 40⁰ C (104⁰ F) can disturb Central Nervous System and anhydrosis.