Abstract
Resuscitation from haemorrhagic shock remains one of the primary tasks of the traumatologist, whether practising in the emergency department (ED), the operating theatre or the intensive care unit (ICU). Diagnosis of haemorrhage, surgical strategy, choice of fluids to administer, monitoring and optimal endpoints for resuscitation are all controversial, and recommendations in each of these areas have evolved substantially in the past decade. Actions taken in the first minutes of care may profoundly affect the patient’s subsequent clinical course, putting a greater focus than ever on the dynamic process of early resuscitation. This article will review the pathophysiology of haemorrhagic shock and will briefly address emerging and controversial therapies.
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