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Resuscitation from hemorrhagic shock 

Resuscitation from hemorrhagic shock
Resuscitation from hemorrhagic shock

Benjamin R. Reynolds

and Gregory A. Watson

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date: 22 February 2020

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.

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