How should hemorrhagic shock treatment

Hemorrhagic shock treatment in the first procedures to ensure that the airway open and bleeding airway patency is effective ventilation and oxygen should be the basic conditions for the effective guarantee of a serious shock and circulatory failure patients should also be given to intubation and mechanical Ventilation is to stop bleeding and shock in the development of oppressive measures to stop bleeding is feasible and effective emergency measures; tourniquet should be applied is also very effective as soon as possible to establish a two-channel intravenous infusion

With the establishment of an immediate infusion access to a large number of serious shock rapid rehydration should quickly enter the 1 ~ 2 L isotonic balanced salt solution then added the best cross-matching blood transfusion can to help with the type or the type O red blood cells particularly in the application of balance After the salt solution in restoring the capacity can not meet the requirements of the recovery should be lost with the red blood cell hemoglobin to 10 g / dl above but not the bleeding of the above-mentioned method of rehydration blood transfusion is defective because of a strong recovery in the liquid will increase Chongdiao thrombosis Hemorrhagic lower survival rate in the hospital for first aid in particular the use of high-salt solution to achieve rapid expansion of the practice still controversial

In the absence of central venous catheter or through the pulmonary artery catheterization test will be the case with the following clinical indicators to grasp that the urine treatment required to achieve 0.5 ~ 1.0 ml / (kg.h) normal heart rate normal blood pressure normal capillary filling good perception

Worth of tips in response to massive blood loss is a recovery after that is to compensate for blood loss and blood transfusion should be in addition to re-supply a certain amount of liquid crystal and colloidal liquid in order to adapt to fluid separation needs to understand this need not only to limit rehydration And the inappropriate treatment of its consequences will increase shock lead metabolic acidosis-induced multiple organ failure and even cause death of about 1 d after the body fluids from the separation of the shift to the diuretic phase from the vessel, through the accumulation of fluid that is to increase the diuretic was superfluous body fluids Turn out to mobilize the body fluids gap gradually restored to normal level before the injury