Hemorrhage Shock

Sign/Symptoms
Blood Pressure Below Normal (Hypotension) Coma Dehydration Diarrhoea (Diarrhea) Eyes Pupils Dilated Fatigue Fever (Raised Body Temperature) Heart or Pulse Rate Raised (Tachycardia) Mind: Confusion Muscle Deterioration (Rhabdomyolysis) Seizures Shallow Breathing Skin Cool and Clammy Thirst Vomiting

Drugs
Dopamine

Treatments
Medical Procedure Hyperbaric Oxygen Therapy (HBOT) Strongly in Favour Moderate Evidence Intravenous fluids (IV) Red Blood Cell Transfusion Intensive Care (ICU) Supportive Treatment Fresh Frozen Plasma Albumin Volume Resuscitation Ionotropic Support Lifestyle Changes Intravenous fluids (IV) Weakly in Favour Low Evidence Medical Therapy Albumin Weakly in Favour Low Evidence Fresh Frozen Plasma Weakly in Favour Low Evidence Intensive Care (ICU) Weakly in Favour Low Evidence Ionotropic Support Weakly in Favour Low Evidence Red Blood Cell Transfusion Weakly in Favour Low Evidence Volume Resuscitation Weakly in Favour Low Evidence

Attributes

Our Records are Incomplete for Condition Attributes

Further Tests
Activated Partial Thromboplastin Time (APTT) Plasma thromboplastin antecedent (Decreased) Aldosterone Concentration Test Aldosterone (Increased) Aspartate Aminotransferase (AST) Concentration Aspartate Aminotransferase (AST) (Increased) Basophil Count Basophils (Decreased) Blood pH Test Blood pH (Increased) Blood Urea Nitrogen Tests Blood Urea Nitrogen (Increased) Blood Uric Acid Concentration Test Uric Acid, Blood (Increased) Carbon Dioxide Total Content (TCO2) Carbon Dioxide Total Content (TCO2) (Decreased) Cerebrospinal Fluid Protein Concentration Cerebrospinal Fluid Total Protein (Increased) Cerebrospinal Fluid White Cell Differential Cerebrospinal Fluid Leukocytes (Increased) Cerebrospinal Fluid Monocyte Differential (Increased) Creatine Kinase Concentration Creatine Kinase1 (CK-BB) Isoenzyme (Increased) Creatine Kinase3 (CK-MM) Isoenzyme (Increased) Creatinine Clearance (CrCl) Creatinine Clearance Rate (Decreased) Creatinine Concentration (Blood, Serum Creatinine) Creatinine (Blood) (Increased) Euglobulin Lysis Time (Fibrinolysis Time) Plasma Clot Lysis Time (Decreased) Fibrin Degradation Products (FDPs, Fibrin Split Products, FSPs, Fibrin Breakdown Products, Fbps) Fibrin Split Products (Increased) Fibrin Monomers Test Fibrin Monomers (Increased) Fibrinogen Concentration test Fibrinogen (Decreased) Glucose, Blood (Random Blood Glucose Test) Glucose (Blood) (Increased) haptoglobin (Hp) concentration haptoglobin (Hp) (Decreased) Heamatocrit (Hct) RBC Mass (Decreased) Hemoglobin (Hb) Concentration Hemoglobin (Hb) (Decreased) Lactate Dehydrogenase Concentration Lactate Dehydrogenase (LDH) (Increased) Lactic Acid Concentration Lactic Acid (Venous Blood) (Increased) Myoglobin Concentration Myoglobin (Increased) Osmolality, Blood (Serum Osmolality) Osmolality, Blood (Serum Osmolality) (Increased) Platelet Count Platelets (Increased) Red Blood Cell (RBC) Count Red Blood Cells (RBC) (Decreased) Red Blood Cell Distribution Width (RDW) Test Red Blood Distribution Width (RDW) (Increased) Renin Assay Renin (Increased) Reticulocyte Absolute Count Reticulocytes (Increased) Thrombin Time Thrombin Time (Increased) Urine Osmolality Urine Osmolality (Increased) Urine Specific Gravity (SG) Urine Specific Gravity (SG) (Increased) Urine Volume

Efficacy of Alternative and Other Treatments According to GRADE* Ranking:

Hyperbaric Oxygen Therapy (HBOT):

Recommendation: strongly in favor (Evidence shows that HBOT can be effective in treating hemorrhagic shock)

Grade of Evidence: Moderate quality of evidence

* www.gradeworkinggroup.org

Summary References

Treatments:
1. http://www.ncbi.nlm.nih.gov/pubmed/18443022?dopt=Abstract

2. http://www.ncbi.nlm.nih.gov/pubmed/18188092?dopt=Abstract

3. Irwin, Richard S.; Rippe, James M. (January 2003). Intensive Care Medicine. Lippincott Williams & Wilkins, Philadelphia & London. ISBN 0-7817-3548-3.

4. Marino, Paul L. (September 2006). The ICU Book. Lippincott Williams & Wilkins, Philadelphia & London. ISBN 0-7817-4802-X

5. "Fundamental Critical Care Support, A standardized curriculum of Critical Care". Society of Critical Care Medicine, Des Plaines, Illinois. http://www.sccm.org/SCCM/FCCS+and+Training+Courses/FCCS/FCCSCourseAdmin.htm.

6. Harrison's Principles of Internal Medicine

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