Hemorrhage

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Introduction

Class I: 0-15%

Class II: 15-30%

Class III: 30-40%

Class IV: >40%

 

 

The Case of...

 

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Causes and Risk Factors

 

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Physiologic Responses to Hemorrhage

  • adults
  • children

Adults

 

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class I

<750ml

<15%

class II

750-1500 ml

15-30%

class III

1500-2000

30-40%

class IV

>2000 ml

>40%

cardiovascular

 
  • tachycardia
  • normal BP
  • normal pulse pressure

 

  • HR >120
  • decreased SBP
  • HR >140
  • hypotensive

CNS

 

anxious, irritable, confused

decreased LOC, decreased response to pain

comatose

skin

 

cool, mottled

cyanotic; markedly decreased capillary refill

pale, cold

urine output

 

low or very low

minimal

none

 

 

 

 

 

Pathophysiology

 

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Signs and Symptoms

  • history
  • physical exam

History

 

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Investigations

  • lab investigations
  • diagnostic imaging

Lab Investigations

 

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Differential Diagnosis

 

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Treatments

 

A infant's blood volume is approx 80 ml/kg, and and a child's is 70 ml/kg.

A bolus is 20ml/kg.

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Consequences and Course

 

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Resources and References

 

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Topic Development

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