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BLEEDING  AND  SHOCK Katarina Zadrazilova FN Brno,  October  2010
Overview ,[object Object],[object Object],[object Object],[object Object],[object Object]
BLEEDING
[object Object],[object Object],[object Object],BLEEDING ,[object Object]
BLEEDING External Internal  Trauma  Spontaneous
BLEEDING ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clotting  ,[object Object],[object Object],[object Object]
Types of wounds ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],Types of wounds
Arterial bleeding ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Arterial bleed – pressure dressing Sterile cover Thick dressing of gauze Ba ndage
Severe bleeding - amputation Tying of knots Application of t o urniquet
Severe bleeding – first aid ,[object Object],[object Object],[object Object],[object Object],[object Object]
Nosebleed ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Bleeding from the ear ,[object Object],[object Object],[object Object],[object Object],[object Object]
Bleeding from the mouth ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Eye wound ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SHOCK ,[object Object]
SHOCK Hypovolemic Cardiogenic Septic Anaphylactic Neurogenic
Basic Physiology 1. Pump generates  blood pressure 2. Pressure drives blood flow (cardiac output)…. 3. Through a tight network of vessels providing a resistance
Hypovolemic shock ,[object Object],[object Object],[object Object],[object Object],[object Object]
Hemorrhagic shock ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hemorrhagic shock
Traumatic shock ,[object Object],[object Object],[object Object]
Hypovolemic shock ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Heart Rate Blood pressure 50% 30% PERCENTAGE BLOOD LOSS
Cardiogenic shock ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Shock – recognised clinically
Management  of shock ,[object Object],[object Object],[object Object],[object Object]
Management  of shock ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment of hemorrhagic shock  ,[object Object],[object Object],[object Object]
SHOCK Hypovolemic Cardiogenic Septic Anaphylactic Neurogenic
Basic Physiology 1. Pump generates  blood pressure 2. Pressure drives blood flow (cardiac output)…. 3. Through a tight network of vessels providing a resistance
Basic Physiology 1. Pump generates  blood pressure 2. Pressure drives blood flow (cardiac output)…. 3.  Through a tight network of vessels providing a resistance
[object Object],[object Object]
Anaphylactic shock ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Anaphylactic shock
Anaphylacticshock – recognised clinically ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anaphylactic   shock  - treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SHOCK Hypovolemic Cardiogenic Septic Anaphylactic Neurogenic
SUMMARY ,[object Object],[object Object],[object Object],[object Object]
Questions ?
 

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Bleeding shock

Hinweis der Redaktion

  1. Why are we talking about CPR
  2. Cave: hidden bleeding from internal organs blood escaping into blood cavity bleeding from demage blood vessels due to a closed fractures