B. Management of Hemorrhagic Shock

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Hemorrhage is a major cause of early death after trauma. Blunt or penetrating trauma is the most common cause, followed by upper and lower gastrointestinal sources for severe hemorrhage. The trauma nurse must understand that the primary treatment of hemorrhagic shock is to control the source of bleeding as soon as possible and to replace fluid. For controlled hemorrhagic shock (CHS), where the source of bleeding has been occluded, fluid replacement is recommended. In case of trauma, the loss of circulating blood volume from hemorrhage is the most common cause of shock. Shock is a common cause of death in injured patients and is the second leading cause of death from trauma.

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