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Shock in patients resuscitated after out of hospital cardiac arrest (OHCA) is associated with an increased risk of mortality. We sought to determine the associations between lactate level, mean arterial pressure (MAP), and vasopressor/inotrope doses with mortality.
Two shock subgroups demonstrated an association between longer out-of-hospital time and increased mortality: patients requiring early critical resources (HR 1.56, 95% CI 1.00 – 2.43) and patients injured by a blunt mechanism (HR 1.62, 95% CI 1.02 – 2.57). Other shock subgroups had no association.
23 Μαΐ 2020 · Shock from medical and traumatic conditions can result in organ injury and death. Limited data describe out‐of‐hospital treatment of shock. We sought to characterize adult out‐of‐hospital shock care in a national emergency medical services (EMS) cohort.
1 ημέρα πριν · Summary. Shock is commonly diagnosed when signs of hypoperfusion are associated with low or declining blood pressure. Shock may result from a number of disease processes, including pump failure (cardiogenic), loss of intravascular volume (hypovolemic), failure of vasoregulation (distributive), or obstruction to blood flow (obstructive).
25 Σεπ 2020 · Patients frequently come to the ER for evaluation after car accidents, or motor vehicle collisions (MVCs) as we refer to them in the medical field. While most MVCs do not lead to serious bodily injury, they often lead to a significant amount of emotional distress for understandable reasons.
A healthy 24-year-old female presented at the emergency department (ED) after a car accident with ambulance while injured severely after the bus got run over her lower limb. As the trauma team was activated, her primary survey was started:
Arterial injury shock will lead to a very rapid and profound hemodynamic decompensation, often resulting in cardiac arrest within minutes of injury, unless early prehospital vascular control can be achieved.