Hypovolemic shock is a life-threatening condition caused by a critical reduction in intravascular volume, leading to decreased preload, reduced cardiac output, and impaired tissue perfusion. One of the most severe and common forms is hemorrhagic shock.
In this episode, we begin with a high-yield overview of hypovolemic shock, reviewing core physiology, compensatory mechanisms, hemodynamic patterns, and bedside differentiation from other shock states.
We then transition into a deep dive on hemorrhagic shock, including causes such as trauma and gastrointestinal bleeding, classic clinical presentation, laboratory and point-of-care findings, and the pathophysiologic cascade leading to the lethal triad of acidosis, hypothermia, and coagulopathy.
Management strategies are discussed in detail, including early hemorrhage control, massive transfusion protocols, balanced blood product resuscitation, permissive hypotension, tranexamic acid, calcium replacement, and key ATLS principles. Landmark trials including CRASH-2 and PROPPR are incorporated to support evidence-based care.
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Playlist on Shock: https://youtube.com/playlist?list=PLf5bMa9_tvRjunk4I-rQZYPZn3qHqWFqW&si=kserFPPm7RYuhul-
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