Maintenance of tissue oxygen delivery requires, first and foremost, an assessment of the adequacy of oxygenation and ventilation. Items requiring immediate evaluation include airway patency, skin color, depth and rate of respiration, as well as the presence of any mechanical obstruction to ventilation including pneumothorax, hemothorax, or flail chest. Supplemental oxygen should be administered to all patients in shock and to most patients who are bleeding acutely. Many patients will require endotracheal intubation and ventilatory support. Respiratory arrest caused by fatigue of the intercostal muscles and diaphragm commonly precedes cardiac arrest as a terminal event in hemorrhagic shock; therefore it is essential that liberal guidelines for ventilatory support be used.
Was this article helpful?
Sick And Tired Of Your Constant Cough? Is Your Bad Immune System Leading You To The Path Of Fever And Sore Chest? You Sure Have A Reason To Panic BronchitisThere Is Always A Way Out And, This Is It Finally Discover Some Of The Most Effective Tips That Can Curb Bronchitis, And Its Repeated Bouts Learn How To Keep The Chronic Cough, And Sore Chest Away Breathe Free, And Feel The Whiff Of Fresh Air, With No Hassles