Hemorrhagic Shock - Revision history

Treloars at 14:48, 24 April 2020

2020-04-24T14:48:12Z

← Older revision		Revision as of 14:48, 24 April 2020
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	* Control any external hemorrhage if present		* Control any external hemorrhage if present
	* For spontaneously breathing patients with a systolic blood pressure less than 100 mm Hg and no known contraindications to the device, apply the [[ResQGuard Impedance Threshold Device\|ResQGuard impedance threshold device]] with mask or mouth-piece as indicated (procedure 9.31) if available. Monitor systolic Blood pressure every 2-3 minutes.		* For spontaneously breathing patients with a systolic blood pressure less than 100 mm Hg and no known contraindications to the device, apply the [[ResQGuard Impedance Threshold Device\|ResQGuard impedance threshold device]] with mask or mouth-piece as indicated (procedure 9.31) if available. Monitor systolic Blood pressure every 2-3 minutes.
	* Consider administration of [[~~Anti-Fibrinolytic~~\|Tranexamic Acid (TXA)]] if:		* Consider administration of [[TXA\|Tranexamic Acid (TXA)]] if:
	** Sustained Systolic Blood Pressure is less than 90 mmHg AND		** Sustained Systolic Blood Pressure is less than 90 mmHg AND
	** Sustained heart rate of 110 beats per minute or higher		** Sustained heart rate of 110 beats per minute or higher

Treloars: /* HYPOTENSION WITH SIGNS OF DECREASED TISSUE PERFUSION SECONDARY TO BLOOD LOSS */

2018-10-01T20:47:37Z

HYPOTENSION WITH SIGNS OF DECREASED TISSUE PERFUSION SECONDARY TO BLOOD LOSS

← Older revision		Revision as of 20:47, 1 October 2018
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	** Sustained Systolic Blood Pressure is less than 90 mmHg AND		** Sustained Systolic Blood Pressure is less than 90 mmHg AND
	** Sustained heart rate of 110 beats per minute or higher		** Sustained heart rate of 110 beats per minute or higher
			** Strongly consider transport of patient to a Trauma Center if TXA administered even if atraumatic hemorrhage.
	* Establish 2 large bore IV lines if Systolic BP less than 90 mm Hg. Fluid boluses in increments of 200 - 300 ml, to titrate systolic BP greater than 90 mm Hg. Monitor for signs of fluid overload.		* Establish 2 large bore IV lines if Systolic BP less than 90 mm Hg. Fluid boluses in increments of 200 - 300 ml, to titrate systolic BP greater than 90 mm Hg. Monitor for signs of fluid overload.
	* Limit fluid administration to 2000cc due to possibility of DIC.		* Limit fluid administration to 2000cc due to possibility of DIC.

Treloars: /* HYPOTENSION WITH SIGNS OF DECREASED TISSUE PERFUSION SECONDARY TO FLUID LOSS */

2018-10-01T20:40:17Z

HYPOTENSION WITH SIGNS OF DECREASED TISSUE PERFUSION SECONDARY TO FLUID LOSS

Treloars: Created page with "== Section 6 - TRAUMA== === 6.13 HEMORRHAGIC SHOCK === === HYPOTENSION WITH SIGNS OF DECREASED TISSUE PERFUSION SECONDARY TO FLUID LOSS === INITIAL TRAUMA CARE - Provide OXYG..."

2018-10-01T20:24:19Z

Created page with "== Section 6 - TRAUMA== === 6.13 HEMORRHAGIC SHOCK === === HYPOTENSION WITH SIGNS OF DECREASED TISSUE PERFUSION SECONDARY TO FLUID LOSS === INITIAL TRAUMA CARE - Provide OXYG..."

New page

== Section 6 - TRAUMA==
=== 6.13 HEMORRHAGIC SHOCK ===
=== HYPOTENSION WITH SIGNS OF DECREASED TISSUE PERFUSION SECONDARY TO FLUID LOSS ===

INITIAL TRAUMA CARE - Provide OXYGEN or assist ventilations as appropriate for patient condition.
* Place patient in Trendelenburg
* Control any external hemorrhage if present
* For spontaneously breathing patients with a systolic blood pressure less than 100 mm Hg and no known contraindications to the device, apply the [[ResQGuard Impedance Threshold Device|ResQGuard impedance threshold device]] with mask or mouth-piece as indicated (procedure 9.31) if available. Monitor systolic Blood pressure every 2-3 minutes.
* Consider administration of [[Anti-Fibrinolytic|Tranexamic Acid (TXA)]] if:
** Sustained Systolic Blood Pressure is less than 90 mmHg AND
** Sustained heart rate of 110 beats per minute or higher
* Establish 2 large bore IV lines. Fluid boluses in increments of 200 - 300 ml, to titrate systolic BP greater than 90 mm Hg. Monitor for signs of fluid overload.
* Limit fluid administration to 2000cc due to possibility of DIC.
* If known hemorrhagic shock infuse fluid rapidly until systolic BP greater than 90 mm Hg. Monitor patient for signs of fluid overload.

'''''ADMINISTRATION OF DOPAMINE TO HYPOVOLEMIC PATIENTS IS CONTRAINDICATED.'''''

[[Category:Trauma|0613]]

← Older revision		Revision as of 20:40, 1 October 2018
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	== Section 6 - TRAUMA==		== Section 6 - TRAUMA==
	=== 6.13 HEMORRHAGIC SHOCK ===		=== 6.13 HEMORRHAGIC SHOCK ===
	=== HYPOTENSION WITH SIGNS OF DECREASED TISSUE PERFUSION SECONDARY TO ~~FLUID~~ LOSS ===		=== HYPOTENSION WITH SIGNS OF DECREASED TISSUE PERFUSION SECONDARY TO BLOOD LOSS ===

	INITIAL TRAUMA CARE - Provide OXYGEN or assist ventilations as appropriate for patient condition.		INITIAL TRAUMA CARE - Provide OXYGEN or assist ventilations as appropriate for patient condition.
	* Place patient in Trendelenburg
	* Control any external hemorrhage if present		* Control any external hemorrhage if present
	* For spontaneously breathing patients with a systolic blood pressure less than 100 mm Hg and no known contraindications to the device, apply the [[ResQGuard Impedance Threshold Device\|ResQGuard impedance threshold device]] with mask or mouth-piece as indicated (procedure 9.31) if available. Monitor systolic Blood pressure every 2-3 minutes.		* For spontaneously breathing patients with a systolic blood pressure less than 100 mm Hg and no known contraindications to the device, apply the [[ResQGuard Impedance Threshold Device\|ResQGuard impedance threshold device]] with mask or mouth-piece as indicated (procedure 9.31) if available. Monitor systolic Blood pressure every 2-3 minutes.
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	** Sustained Systolic Blood Pressure is less than 90 mmHg AND		** Sustained Systolic Blood Pressure is less than 90 mmHg AND
	** Sustained heart rate of 110 beats per minute or higher		** Sustained heart rate of 110 beats per minute or higher
	* Establish 2 large bore IV lines. Fluid boluses in increments of 200 - 300 ml, to titrate systolic BP greater than 90 mm Hg. Monitor for signs of fluid overload.		* Establish 2 large bore IV lines if Systolic BP less than 90 mm Hg. Fluid boluses in increments of 200 - 300 ml, to titrate systolic BP greater than 90 mm Hg. Monitor for signs of fluid overload.
	* Limit fluid administration to 2000cc due to possibility of DIC.		* Limit fluid administration to 2000cc due to possibility of DIC.
	* If known hemorrhagic shock infuse fluid rapidly until systolic BP greater than 90 mm Hg. Monitor patient for signs of fluid overload.		* If known hemorrhagic shock infuse fluid rapidly until systolic BP greater than 90 mm Hg. Monitor patient for signs of fluid overload.