Management of shock in trauma

Shock is failure of the circulatory system to provide the organ perfusion and tissue oxygenation required to meet cellular metabolic demands. Traumatic shock is most commonly associated with haemorrhage, although it is recognized the trauma patient may present with non-haemorrhagic shock. The ‘lethal triad’ of metabolic acidosis, hypothermia, and acute coagulopathy seen in trauma patients has been fundamental to the development of the current approach to management of traumatic shock. Damage control resuscitation encompasses key resuscitative strategies including hypotensive resuscitation, the use of blood and blood products as primary resuscitative fluids to correct coagulopathy, maintain organ perfusion and restore tissue oxygenation and damage control surgery.
Source: Anaesthesia and intensive care medicine - Category: Anesthesiology Authors: Source Type: research