Shock — current through the body
Shock happens when you become part of the circuit and current flows through you — usually hand to hand or hand to foot, straight across the chest and heart. The results range from a jolt to cardiac arrest depending on how much current flows and how long it lasts.
The defenses against shock are the ones you already know: de-energize and lock out before you work, keep grounding intact, use GFCI protection on temporary power, and keep insulation — gloves, mats, tools — between you and any live part you can't kill.