HEMORRHAGE

HEMORRHAGEMRS. LEKSHMI PCLASSIFICATIONOF HEMORRHAGE CLASS I HEMCLCCCCCCLLLLASSCLLLLLLLORRHAGE15 % blood loss

No change in vital signs

Fluid resuscitation is not usually necessaryCLASS I HEMORRHAGECLASS II H CLASS II HEMORRHAGEEMORRHCLAGE15 30 % blood lossTachycardiaNarrowing difference between systolic & diastolic blood pressureSkin starts to look pale and cool to touchExhibits slight change in behaviorVolume resuscitation with IV fluidsBlood transfusion not required

CLASS III HEMORRHAGE30-40 % blood lossBlood pressure dropsHeart rate increasesCapillary refill worsensMental status worsensFluid replacementBlood transfusionCLASS III HEMORRHAGECLASS IV HECLASS IV HEMORRHAGEMORRHAGEInvolve loss of > 40 % of circulating blood volumeLife threateningResuscitation is required to prevent deathACCORDING TO WHOCCGrade 0 no bleeding

Grade 1 Petechial bleeding

Grade 2 mild blood loss (clinically significant)

Grade 3 Gross blood loss (severe)

Grade 4 debilitating blood loss retinal or cerebral associated with deathACCORDING TO WHOff

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