Hypovolemic Shock Follow-up

  • Author: Paul Kolecki, MD, FACEP; Chief Editor: David FM Brown, MD   more...
 
Updated: Mar 21, 2012
 

Complications

  • Neurologic sequelae
  • Death
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Prognosis

  • The prognosis is dependent on the degree of volume loss.
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Patient Education

  • For excellent patient education resources, visit eMedicine's Shock Center. Also, see eMedicine's patient education article Shock.
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Contributor Information and Disclosures
Author

Paul Kolecki, MD, FACEP  Associate Professor, Department of Emergency Medicine, Thomas Jefferson University Hospital, Director of Undergraduate Emergency Medicine Student Education, Jefferson Medical College, Philadelphia, PA, Consultant, Philadelphia Poison Control Center, Philadelphia, PA

Paul Kolecki, MD, FACEP is a member of the following medical societies: Alpha Omega Alpha and American College of Emergency Physicians

Disclosure: Nothing to disclose.

Coauthor(s)

Carl R Menckhoff, MD, FACEP  Associate Professor, Department of Emergency Medicine, Medical College of Georgia; Medical Director and Chairman, Medical Center of Lewisville; Regional Ultrasound Director, Questcare Partners

Carl R Menckhoff, MD, FACEP is a member of the following medical societies: American College of Emergency Physicians

Disclosure: Nothing to disclose.

Specialty Editor Board

Daniel J Dire, MD, FACEP, FAAP, FAAEM  Clinical Professor, Department of Emergency Medicine, University of Texas Medical School at Houston; Clinical Professor, Department of Pediatrics, University of Texas Health Sciences Center San Antonio

Daniel J Dire, MD, FACEP, FAAP, FAAEM is a member of the following medical societies: American Academy of Clinical Toxicology, American Academy of Emergency Medicine, American Academy of Pediatrics, American College of Emergency Physicians, and Association of Military Surgeons of the US

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

A Antoine Kazzi  MD, Deputy Chief of Staff, American University of Beirut Medical Center; Associate Professor, Department of Emergency Medicine, American University of Beirut, Lebanon

A Antoine Kazzi is a member of the following medical societies: American Academy of Emergency Medicine

Disclosure: Nothing to disclose.

John D Halamka, MD, MS  Associate Professor of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center; Chief Information Officer, CareGroup Healthcare System and Harvard Medical School; Attending Physician, Division of Emergency Medicine, Beth Israel Deaconess Medical Center

John D Halamka, MD, MS is a member of the following medical societies: American College of Emergency Physicians, American Medical Informatics Association, Phi Beta Kappa, and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Chief Editor

David FM Brown, MD  Associate Professor, Division of Emergency Medicine, Harvard Medical School; Vice Chair, Department of Emergency Medicine, Massachusetts General Hospital

David FM Brown, MD is a member of the following medical societies: American College of Emergency Physicians and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

References

  1. Sarkar D, Philbeck T. The use of multiple intraosseous catheters in combat casualty resuscitation. Mil Med. Feb 2009;174(2):106-8. [Medline].

  2. Ghafari MH, Moosavizadeh SA, Moharari RS, Khashayar P. Hypertonic saline 5% vs. lactated ringer for resuscitating patients in hemorrhagic shock. Middle East J Anesthesiol. Oct 2008;19(6):1337-47. [Medline].

  3. Reinhart K, Perner A, Sprung CL, Jaeschke R, Schortgen F, Johan Groeneveld AB, et al. Consensus statement of the ESICM task force on colloid volume therapy in critically ill patients. Intensive Care Med. Mar 2012;38(3):368-83. [Medline].

  4. Zink KA, Sambasivan CN, Holcomb JB, Chisholm G, Schreiber MA. A high ratio of plasma and platelets to packed red blood cells in the first 6 hours of massive transfusion improves outcomes in a large multicenter study. Am J Surg. May 2009;197(5):565-70; discussion 570. [Medline].

  5. Burns B, Gentilello L, Elliot A, Shafi S. Prehospital hypotension redefined. J Trauma-Injury Infection and Crit Care. Dec 2008;65(6):1217-21. [Medline].

  6. Dutton RP, Mackenzie CF, Scalea TM. Hypotensive resuscitation during active hemorrhage: impact on in-hospital mortality. J Trauma. Jun 2002;52(6):1141-6. [Medline].

  7. Graham CA, Parke TR. Critical care in the emergency department: shock and circulatory support. Emerg Med J. Jan 2005;22(1):17-21. [Medline].

  8. Langley DM, Moran M. Intraosseous needles: they're not just for kids anymore. J Emerg Nurs. Aug 2008;34(4):318-9. [Medline].

  9. Ogino R, Suzuki K, Kohno M, et al. Effects of hypertonic saline and dextran 70 on cardiac contractility after hemorrhagic shock. J Trauma. Jan 1998;44(1):59-69. [Medline].

  10. Silbergleit R, Satz W, McNamara RM, et al. Effect of permissive hypotension in continuous uncontrolled intra-abdominal hemorrhage. Acad Emerg Med. Oct 1996;3(10):922-6. [Medline].

  11. Skagius E, Siegbahn A, Bergqvist D, Henriksson A. Activated coagulation in patients with shock due to ruptured abdominal aortic aneurysm. Eur J Vasc Endovasc Surg. Jan 2008;35(1):37-40. [Medline].

  12. Smith K, Deimling DL, Hinckley WR. Transporting the pregnant patient in shock; case report and review. Air Medical J. Jan-Feb 2009;28(1):37-9. [Medline].

  13. Stern SA. Low-volume fluid resuscitation for presumed hemorrhagic shock: helpful or harmful?. Curr Opin Crit Care. Dec 2001;7(6):422-30. [Medline].

  14. Yajima D, Motani H, Hayakawa M, Sato Y, Iwase H. A fatal case of hypovolemic shock after cesarean section. Am J Forensic Med Pathol. Sep 2007;28(3):212-5. [Medline].

 
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