Resuscitation for Hypovolemic Shock

Surg Clin North Am. 2017 Dec;97(6):1307-1321. doi: 10.1016/j.suc.2017.07.011.

Abstract

Hemorrhage is the leading cause of preventable deaths in trauma patients. After presenting a brief history of hemorrhagic shock resuscitation, this article discusses damage control resuscitation and its adjuncts. Massively bleeding patients in hypovolemic shock should be treated with damage control resuscitation principles including limited crystalloid, whole blood or balance blood component transfusion to permissive hypotension, preventing hypothermia, and stopping bleeding as quickly as possible.

Keywords: Coagulopathy; Damage control resuscitation; Hemorrhagic shock; Massive transfusion; Trauma; Visoelastic hemostatic assays.

Publication types

  • Review

MeSH terms

  • Blood Component Transfusion / methods
  • Blood Pressure / physiology
  • Blood Transfusion / methods
  • Crystalloid Solutions
  • Hemostatics / therapeutic use
  • Humans
  • Hypothermia / prevention & control
  • Isotonic Solutions / therapeutic use
  • Military Medicine
  • Resuscitation / methods*
  • Shock / physiopathology
  • Shock / therapy*
  • Thrombelastography / methods
  • Treatment Outcome
  • Wounds and Injuries / complications
  • Wounds and Injuries / physiopathology

Substances

  • Crystalloid Solutions
  • Hemostatics
  • Isotonic Solutions