Book contents
- The Emergency Medicine Trauma Handbook
- The Emergency Medicine Trauma Handbook
- Copyright page
- Contents
- Contributors
- Preface
- Disclaimer
- Chapter 1 General Approach to Traumatic Injuries
- Chapter 2 Trauma Airway
- Chapter 3 Transfusion in Trauma
- Chapter 4 Trauma in Pregnancy
- Chapter 5 Pediatric Trauma
- Chapter 6 Geriatric Trauma
- Chapter 7 Head Trauma
- Chapter 8 Facial Trauma
- Chapter 9 Eye Trauma
- Chapter 10 Cervical Spine Trauma
- Chapter 11 Thoracolumbar Trauma
- Chapter 12 Neck Trauma
- Chapter 13 Pulmonary Trauma
- Chapter 14 Cardiac Trauma
- Chapter 15 Abdominal and Flank Trauma
- Chapter 16 Genitourinary Trauma
- Chapter 17 Peripheral Vascular Injury
- Chapter 18 Pelvic Trauma
- Chapter 19 Upper Extremity Trauma
- Chapter 20 Lower Extremity Trauma
- Chapter 21 Burns and Electrical Injuries
- Chapter 22 Procedural Sedation and Analgesia in Trauma
- Chapter 23 Commonly Missed Traumatic Injuries
- Index
- References
Chapter 3 - Transfusion in Trauma
Published online by Cambridge University Press: 23 August 2019
- The Emergency Medicine Trauma Handbook
- The Emergency Medicine Trauma Handbook
- Copyright page
- Contents
- Contributors
- Preface
- Disclaimer
- Chapter 1 General Approach to Traumatic Injuries
- Chapter 2 Trauma Airway
- Chapter 3 Transfusion in Trauma
- Chapter 4 Trauma in Pregnancy
- Chapter 5 Pediatric Trauma
- Chapter 6 Geriatric Trauma
- Chapter 7 Head Trauma
- Chapter 8 Facial Trauma
- Chapter 9 Eye Trauma
- Chapter 10 Cervical Spine Trauma
- Chapter 11 Thoracolumbar Trauma
- Chapter 12 Neck Trauma
- Chapter 13 Pulmonary Trauma
- Chapter 14 Cardiac Trauma
- Chapter 15 Abdominal and Flank Trauma
- Chapter 16 Genitourinary Trauma
- Chapter 17 Peripheral Vascular Injury
- Chapter 18 Pelvic Trauma
- Chapter 19 Upper Extremity Trauma
- Chapter 20 Lower Extremity Trauma
- Chapter 21 Burns and Electrical Injuries
- Chapter 22 Procedural Sedation and Analgesia in Trauma
- Chapter 23 Commonly Missed Traumatic Injuries
- Index
- References
Summary
Hemorrhage is a leading cause of death in trauma, following head injury. Shock is defined by inadequate tissue perfusion with hemodynamic instability and organ dysfunction.1–10 In trauma, the most common cause of shock is due to acute hemorrhage. Advanced Trauma Life Support (ATLS) describes four classes of hemorrhage,1 but these are not relevant to real world practice, due to different injury types (blunt vs. penetrating), age (due to blunted physiologic responses in the elderly), comorbidities, and medication use (beta blockade reduces the chance of tachycardia in response to decreased blood pressure).6–14 Bradycardia may also be seen in hemorrhage, due to several causes including vagal stimulation and failure to mount a tachycardic response.13,14
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- Information
- The Emergency Medicine Trauma Handbook , pp. 42 - 55Publisher: Cambridge University PressPrint publication year: 2019