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Resuscitation From Severe Hemorrhage
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Resuscitation from Severe Hemorrhage The resuscitation after severe hemorrhage is a very delicate process which involves many biological factors with a very small time window. To successfully revive a victim of severe exsanguination, one must work quickly within the "golden hour" time limit. In this time period, there are various trauma that must be avoided; cardiac arrest, hypotension, hemorrhagic shock, and hypothermia to name a few. This article encompasses the current technology for resuscitation as well as future possibilities for research. The basic idea behind the resuscitation process involves the restoration of normotension in the blood stream while avoiding cardiac arrest, and hemorrhagic shock. Even when normotension is restored and cardiac arrest is avoided, hemorrhagic shock, which can cause organ failure, is often a problem. There are 3 types of hemorrhagic shock: compensated hemorrhagic shock; uncompensated hemorrhagic shock, the shock which is reversible; and irreversible hemorrhagic shock. The most popular way of resuscitation is the use of lactated ringer's solution to make up for lost blood volume by making the cells swell and in turn restores normotension. This works fairly well but it is not the optimal treatment. PATHOPHYSIOLOGY Half of the deaths that occur annually are due to acute illness or injury, and are associated with circulatory failure or shock. Some of these deaths could be avoided by the proper m...
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