Chapter

Resuscitation from hemorrhagic shock

Benjamin R. Reynolds and Gregory A. Watson

in Trauma Intensive Care

Published on behalf of Oxford University Press

Published in print May 2013 | ISBN: 9780199777709
Published online September 2013 | e-ISBN: 9780199353057 | DOI: https://dx.doi.org/10.1093/med/9780199777709.003.0006

Series: Pittsburgh Critical Care Medicine

Resuscitation from hemorrhagic shock

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Shock from massive hemorrhage can be one of the most difficultproblems to manage in the intensive care unit. Severe hemorrhagic shock and the resulting “lethal triad” of coagulopathy, hypothermia, and acidosis are associated with a very high morbidity and mortality. Achieving a good outcomerequires prompt recognition of hemorrhage and institution of measuresto stop bleeding, as well as timely resuscitation and reversal of coagulopathy, hypothermia, and acidosis. In this chapter, we will differentiate hemorrhagic from other types of shockand describe its pathophysiology. Treatment will be emphasized, utilizing theextreme example of “damage control” to guide the discussion.

Chapter.  4222 words. 

Subjects: Critical Care ; Trauma and Orthopaedic Surgery

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