Krishnan DG. Systematic Assessment of the Patient with Facial Trauma. Part 3: Hypovolaemia and facial injuries in the multiply injured patient. Int J Oral Maxillofac Surg. Initial assessment and management. En: Advanced Trauma Life Support.
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2015, Número 3
On the contrary, SI defined as the ratio of HR to systolic blood pressure has been shown to be a pragmatic and useful tool for diagnosing hypovolemic shock even in the presence of a normal HR or BP. SI has also been shown to assist in the identification of shock states in polytrauma patients. This classification is based upon an estimated percentage of blood loss and corresponding vital signs, such as the heart rate, systolic blood pressure and the mental status to allocate each patient to their respective shock class. However, the clinical validity of the ATLS classification of hypovolemic shock has been recently questioned. As an alternative, a classification based on the physiological parameter SI has been proposed by Mutscler et al to differentiate the presence and extent of hypovolemic shock in trauma patients. The purpose of such a classification is to be able to discriminate the patient at risk for early blood transfusions and death more appropriately than the current ATLS classification. The decision to initiate a massive transfusion protocol in the trauma patient is a risk vs benefit choice often made under duress.
Choque hipovolémico y fractura de pelvis. Uso de fijador externo en la reanimación primaria
Skip to search form Skip to main content You are currently offline. Some features of the site may not work correctly. Objective: To identify the frequency, mortality, integral management of pelvic fractures and hypovolemic shock in reanimation area. Setting: Cruz Roja Mexicana hospital Central.
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