Hemorrhagic shock is a condition of reduced tissue perfusion, resulting in inadequate delivery of oxygen and nutrients that are necessary for cellular functions, when oxygen demand overweigh supply, both cell and organism is in shock. Causes 1.blunt and penetrating trauma 2.gastro intestinal tract bleeding ...upper and lower git bleeding 3. gynae and obs causes ruptured ectopic pregnancy,abruptio placenta and menorragia Classes of hemorrhagic shock a.
class i blood loss less than 750ml heart rate and bp remain unchanged tt minimal b. class ii blood loss .75l to 1.5 litre heart rate increased and bp is decreased tt iv fluids c. class iii blood loss 1.5 to 2 litre pulse rate very fast andbp unstable tt fluids and packed rbcs d class iv blood loss more than 2 litres severe hypotension with near to absent pulse tt aggresive Hemorrhagic shock presents in 1 to 2% of trauma patients…
