Shock and Resuscitation in Orthopaedics
Types: hypovolemic (hemorrhagic), distributive (septic, neurogenic), cardiogenic, obstructive. Initial approach: ATLS (Airway with C‑spine, Breathing, Circulation, Disability, Exposure). Hemorrhagic shock is most common in trauma; control bleeding + balanced transfusion (1:1:1) + permissive hypotension until hemorrhage control (except TBI). Resuscitation targets: lactate clearance, base deficit, urine output, MAP appropriate to context. Adjuncts: TXA within 3 hours of injury; damage control surg...
Practised by MCQ
10What is the most common type of shock encountered in orthopaedic trauma patients?
mcqAccording to ATLS guidelines, which of the following is NOT a primary step in the initial approach to a trauma...
mcqWhat is the recommended blood product transfusion ratio in the management of traumatic hemorrhagic shock?
mcqIn the context of traumatic hemorrhagic shock, what is the principle of permissive hypotension?
mcqWhich adjunct therapy is recommended to reduce mortality in patients with traumatic hemorrhagic shock if admin...
mcqWhich of the following conditions is classified as obstructive shock?
mcqWhat is the estimated blood loss for a femoral shaft fracture?
mcqWhich clinical sign is most indicative of hypovolemic shock?
mcqWhat is the target urine output during resuscitation in trauma patients?
mcqIn the management of pelvic fractures, which method is commonly employed to control hemorrhage?