Hypovolemic shock: a better understanding for the best treatment! Classification, pathophysiology, clinical recognition and treatment

Many different shock definitions exist but the most accurate one is likely inadequate energy production by the cell. ATP is the most important energy molecule the body uses. Without ATP, the cell suffers and starts working abnormally.
To be able to produce ATP, the cells needs: O2, a functional pump, a normal flow, normal intravascular volume, a functional mitochondria/source of glucose.
If one of these component stops working, ATP production will be impaired and lacte production will start.
We can classify the different types of shock as impairment of:
•    Blood flow (vasomotor tone/distribution) -> distributive/obstructive shock
•    Glucose/nutriment - Available and efficient machinery to produce ATP (mitochondria, ETC etc..) -> metabolic shock
•    Efficient cardiac pump -> cardiogenic shock
•    Adequate blood volume/intravascular volume -> hypovolemic shock
•    O2 delivery to the cell -> hypoxemic shock

True hypovolemic shock is the most common one. Different stages of hypovolemic shock exist and it is important to know how to recognize them. Consult this video and learn all about classification, pathophysiology, clinical recognition and treatment to be able to give the best treatment.

During this presentation, we will review the different type of fluids, which are the pros and cons and their indication in the treatment of hypovolemic shock as well as in the hemorrhagic shock.

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Ludivine Boiron

Dr Boiron is currently responsible for the Emergency and Critical Care service and the internship program in the referral clinic Willows situated in Birmingham, in the UK.

She obtained her diploma at the Veterinary School of Lyon in 2009. In the same school, Dr Boiron has realized an internship in medicine and surgery of small companion animals and then occupied during 3 years the function of Consultation Responsible at the SIAMU, the Unity of Critical Care at the school of Lyon. During almost one year, she worked in the Emergency Service in different clinics in France and then moved to the US to realize a specialized internship in Emergency and Critical Care at the UC Davis University in California. She continued this road and completed her education by realizing a Residency in Emergency and Critical care at the Penn University in Philadelphia. 

Dr Boiron has obtained her diploma of the American College of Emergency and Critical Care in 2018. She loves to participate in national and international congresses in relation with her specialty. 

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