Fluid resuscitation, while necessary, may exacerbate coagulopathies. Sepsis and multiple organ system failure occur days after acute hemorrhagic shock. Always perform a rectal examination. Pregnancy - Optimization of perfusion in the mother is the treatment of choice for the fetus. Pediatric - Compensatory mechanisms may be quite effective in children.
Hypotension is a late finding and represents significant hemorrhage.
Geriatric - Medications and underlying diseases may modify responses to hemorrhage. Immediate versus delayed fluid resuscitation for hypotensive patients with penetrating torso injuries. Medicine is a constantly changing science and not all therapies are clearly established. New research changes drug and treatment therapies daily. However, as medical science is constantly changing and human error is always possible , the authors, editors, and publisher or any other party involved with the publication of this article do not warrant the information in this article is accurate or complete, nor are they responsible for omissions or errors in the article or for the results of using this information.