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6.6 Summary

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 Hypovolaemia is the most common cause of shock in obstetric and trauma patients

 A high index of suspicion is essential during assessment to ensure early recognition and prompt resuscitation

 In haemorrhagic shock, management requires replacement of lost volume and oxygen carrying capacity, prevention of coagulopathy and immediate control of haemorrhage either by direct compression, splintage or, where necessary, by urgent surgery

 Other forms of shock require equal vigilance and early resuscitative measures to restore circulation and tissue perfusion

Managing Medical and Obstetric Emergencies and Trauma

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