Final answer:
The statement is true; both direct and indirect effects of shock, such as circulatory shock, can indeed be fatal if not treated promptly.
Step-by-step explanation:
The statement that both direct and indirect effects of shock can have fatal consequences is true. Circulatory shock is a life-threatening condition where the circulatory system fails to maintain adequate blood flow, thus not providing enough oxygen and nutrients to tissues, which is imperative for maintaining cellular metabolism. This can be a result of various forms of shock, such as hypovolemic, often caused by hemorrhage in adults or severe vomiting or diarrhea in children, leading to dangerous outcomes if not promptly treated.