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PRINCIPLES OF SHOCK AND NUTRITION TREATMENT

In the severely injured patient the treatment must be started immediately in the emergency room with administration of fluids and controlling of the ventilation. Once the airway is controlled, ventilation is adequate and external bleeding has been stopped, the cardiovascular condition must be controlled. A shock can be due to cardiac failure, reduced circulatory blood volume or septic shock. Pump failure should be suspected in any patient in shock generally with hypotension whose extremities are cool, pale or clammy and whose veins are distended. However, in the majority of the trauma cases, the shock is due to reduced circulatory blood volume from internal haemorrhage. Septic shock is extremely unusual in the early period after trauma. Later on, however, the development of multisystemic failure, usually from sepsis, results in death for many traffic accident patients who survive their initial injuries. (TRRL)

  • Availability:
  • Supplemental Notes:
    • The First Nordic Congress on Traffic Medicine, The Man, The Cause and The Victim, held June 8-11, 1982, in Linkoeping, Sweden.
  • Corporate Authors:

    Svensk Trafikmedicinsk Foerening

    P.O. Box 10043
    S-10055 Stockholm 10,   Sweden 
  • Authors:
    • Liljedahl, S-O
  • Publication Date: 1982

Media Info

Subject/Index Terms

Filing Info

  • Accession Number: 00372618
  • Record Type: Publication
  • Source Agency: Swedish National Road and Transport Research Institute (VTI)
  • ISBN: 91-7372-589-2
  • Files: ITRD, TRIS
  • Created Date: Jun 30 1983 12:00AM