The Pathophysiology and Management of Hemorrhagic Shock in the Polytrauma Patient.

ABSTRACT: The recognition and management of life-threatening hemorrhage in the polytrauma patient poses several challenges to prehospital rescue personnel and hospital providers. First, identification of acute blood loss and the magnitude of lost volume after torso injury may not be readily apparent in the field. Because of the expression of highly effective physiological mechanisms that compensate for a sudden decrease in circulatory volume, a polytrauma patient with a significant blood loss may appear normal during examination by first responders. Consequently, for every polytrauma victim with a significant mechanism of injury we assume substantial blood loss has occurred and life-threatening hemorrhage is progressing until we can prove the contrary. Second, a decision to begin damage control resu

SUBMITTER: Fecher A 

PROVIDER: S-EPMC8541346 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature