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HAEMORRHAGE
1. Primary haemorrhage
2. Reactionary haemorrhage
3. Secondary haemorrhage
1. surgical haemorrhage
2. non surgical haemorrhage
hypovolaemia
• PR >100/minute
• SBP <100 mmhg
• Diastolic BP drop on sitting or standing >10
mmHg
• Pallor / sweating
• Shock index ( ie ratio of PR to BP )> 1 (cardiac
index )
I II III IV
Blood loss ml Up to 750 750-1500 1500-2000 >2000
Blood loss % Upto 15 15-30 30-40 >40
PR <100 100-120 120-140 >140
BP N N Decreased Decreased
Pulse pressure N/ increased Decreased Decreased Decreased
RR 14-20 20-30 30-40 >40
Urine output( >30 20-30 5-15 Negligible
ml/hr)
Mental status Slightly anxious Mildly anxious Anxious , Confused and
confused lethargic
Initial fluid Crystalloid Crystalloid Crystalloid and Crystalloid and
replacement blood blood