Shock hemorragico atls pdf

Clasificacion, causas y tratamiento del shock en ninos. Shock is the most frequent hemodynamic emergency in clinical practice, and patients lives depend on its timely and adequate management. The prediction model for atls shock class could be reproduced by predicting blood loss in percent of subjects, and then by determining the class based on the criterion for atls shock. Systemic hypotension is a late marker of shock after trauma. Chapter 3, advanced trauma life support for doctors, student course. Pulso fr r x min diuresis mlh estado mental fluidoterapia 30 ansioso cristaloides 750 1500 ml 15 30 % 100 120 normal. Total oxygen delivery d o 2 mlo 2 min per m 2 is the product of cardiac index lmin per m 2. Devemse considerar tambem alteracoes metabolicas e microcirculatorias bem como variaveis hemodinamicas mais sensiveis e especificas. Actualizacion del manejo del paciente en shock sborl mallorca.

Uncontrolled bleeding is the leading cause of shock in trauma patients and delays in recognition and treatment have been linked to adverse outcomes. Manejo del shock hemorragico paciente politraumatizado. Apr 02, 2004 a clearer understanding of the pathophysiology of hemorrhagic shock may be obtained by defining the process of oxygen delivery and utilization by the tissues. Shock is defined as a situation of generalized tissue hypoperfusion in which the oxygen supply at the cellular level is inadequate to satisfy the metabolic demands. Shock hipovolemico gabriel guevara conrado universidad americana uam 2. O american college of surgeons, por meio do atls advanced trauma life support, estratifica as perdas sanguineas, baseandose na apresentacao inicial do paciente tabela 2. Therefore, we suggest a relatively simple approach with higher accuracy to determine atls hypovolemic shock class. Total oxygen delivery d o 2 mlo 2 min per m 2 is the product of cardiac index lmin per m 2 and arterial oxygen content ca o 2 mlo 2 l blood. Shock hemorragico revista medica clinica las condes.