Management of Hemorrhagic Shock According to the Revised “Physiological Classification” - Update 2024 | Chapter 11 | New Visions in Medicine and Medical Science Vol. 4
Hemorrhagic shock management is based on a timely, rapid, definitive source control of bleeding/s and on blood loss replacement. Stopping the hemorrhage progressing from any named and visible vessel is the main stem fundamental praxis of therapeutic efficacy, ultimately an essential, obligatory, life-saving step. Blood loss replacement serves mainly the purpose of preventing ischemia/reperfusion toxemia and optimizing tissue oxygenation and microcirculation dynamics. The “revised physiological classification” is the only classification that suits timely intervention, tactics like titrated hypotensive resuscitation and iatrogenic vasoconstriction, and strategies like titrated-to-response anesthesia and damage control surgery. Timing and approach to management should follow the classification, from onset of the hemorrhage to cardiac arrest by exsanguination. In hypotensive shock, the body’s response to a fluid load test is the diriment cut-off information to have for distinguishing ...