Template:Hemorrhagic shock classes: Difference between revisions

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===Classes of [[hemorrhagic shock]]<ref>American College of Surgeons Committee on Trauma. Shock: in Advanced Trauma Life Support: Student Course Manual, ed 10. 2018. Ch 3:62-81</ref>===
{| class="wikitable"
! Class
! I
! II
! III
! IV
|-
| Approximate blood loss
| <15%
| 15-30%
| 30-40%
| >40%
|-
| Heart rate
| ↔
| ↔/↑
| ↑
| ↑↑
|-
| Blood pressure
| ↔
| ↔
| ↔/↓
| ↓
|-
| Pulse Pressure (mmHg)
| ↔
| ↓
| ↓
| ↓
|-
| Respiratory Rate (per min)
| ↔
| ↔
| ↔/↑
| ↑
|-
| Urine Output (mL/hr)
| ↔
| ↔
| ↓
| ↓↓
|-
| Glasgow coma scale score
| ↔
| ↔
| ↓
| ↓
|-
| Base deficit^
| 0 to -2 mEq/L
| -2 to -6 mEq/L
| -6 to -10 mEq/L
| -10 or less mEq/L
|-
| Need for blood products
| Monitor
| Possible
| Yes
| Massive transfusion protocol
|}
^Base excess is the quantity of base (HCO3-, in mEq/L) that is above or below the normal range in the body. A negative number is called a base deficit and indicates metabolic acidosis.

Latest revision as of 05:14, 11 December 2019

Classes of hemorrhagic shock[1]

Class I II III IV
Approximate blood loss <15% 15-30% 30-40% >40%
Heart rate ↔ ↔/↑ ↑ ↑↑
Blood pressure ↔ ↔ ↔/↓ ↓
Pulse Pressure (mmHg) ↔ ↓ ↓ ↓
Respiratory Rate (per min) ↔ ↔ ↔/↑ ↑
Urine Output (mL/hr) ↔ ↔ ↓ ↓↓
Glasgow coma scale score ↔ ↔ ↓ ↓
Base deficit^ 0 to -2 mEq/L -2 to -6 mEq/L -6 to -10 mEq/L -10 or less mEq/L
Need for blood products Monitor Possible Yes Massive transfusion protocol

^Base excess is the quantity of base (HCO3-, in mEq/L) that is above or below the normal range in the body. A negative number is called a base deficit and indicates metabolic acidosis.

  1. ↑ American College of Surgeons Committee on Trauma. Shock: in Advanced Trauma Life Support: Student Course Manual, ed 10. 2018. Ch 3:62-81
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