- Project: Ghana Emergency Medicine Collaborative
- Document Title: Shock
- Reviews shock, which can occur with a low blood pressure and hypoperfusion and can occur without shock. Shock treatment goals are to maintain cardiac output and tissue perfusion through adequate fluid resuscitation and vasoconstriction or inotropic support when needed.
Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...
Ghana Emergency Medicine Collaborative Shock Document
1. Project: Ghana Emergency Medicine Collaborative
Document Title: Shock
Author(s): Patrick Carter (University of Michigan), MD 2012
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CLASS
I
II
III
IV
BVL
< 15%
15 - 30%
30 - 40%
> 40%
AMOUNT
750 cc
750 - 1500 cc
1500 - 2000 cc
> 2000 cc
PULSE
<100
> 100
>120
>140
BP
No change
Narrowed pulse
pressure
Consistent decrease
in SBP
Decreased SBP and
narrowed pulse pressure or
no DBP
RESP
No change
20-30
30-40
>35
CNS
No change
Anxiety
Anxious, confused
Confused. lethargic
Urine
>30cc per hr
20-30cc per hr
5-15cc per hr
negligible
TX
Replace fluid
loss
2L NS IV
2 L NS IV, usually requires
blood transfusion
Rapid transfusion of blood
and NS, requires immediate
intervention to stop
hemorrhage
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Rapid Response
Transient
Response
No Response
Vitals
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Transient
Remain Abnormal
improvement with
return to previous
Estimated Blood
loss
10-20%
20-40% with
ongoing likely
Severe >40%
Need for more
Fluid
Low
High
High
Need for Blood
Type and cross
Type specific
O neg
Need for surgery
Possible
Likely
Highly likely
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