Читать книгу Managing Medical and Obstetric Emergencies and Trauma - Группа авторов - Страница 122

A diagnosis of hypovolaemic shock must be promptly followed by:

 Restoration of adequate oxygen delivery to the tissues by restoration of adequate circulating volume and adequate oxygen carrying capacity (see Chapter 8 for intravenous fluids)

 Stopping the bleeding (see Chapter 28 for major obstetric haemorrhage)

Consider haemorrhage to be of two types:

 Compressible

 Non‐compressible

Compressible haemorrhage is controllable by direct pressure, limb elevation, packing, by reduction and immobilisation of fractures or, in obstetric situations, compression of the uterus.

Non‐compressible haemorrhage occurs in a body cavity (chest, abdomen, pelvis or retroperitoneum). See Chapters 17, 18 and 21 for haemorrhage in trauma.