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Myocardial Contractile Force in Experimental Hemorrhagic ShockSome Observations
JACK C. COOLEY, MD;
C. L. McINTOSH, MS
AMA Arch Surg. 1963;87(2):330-340.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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The problem of managing hemorrhagic shock has always been a challenge to the physician. As early as the turn of the century this condition was recognized, and during each of the great wars signal advances were made in its treatment. Heretofore blood pressure and pulse rate have been the primary clinical parameters observed in patients with hemorrhagic shock. Ancillary observations have also been recorded on skin temperature, sweating, and skin color. Laboratory tests, including hemoglobin, red blood cell count, hematocrit, and blood volume have been helpful in judging blood replacement therapy. The state of irreversible shock has received much discussion in the literature and was attributed for many years primarily to failure of the peripheral circulation with capillary paralysis and pooling of peripheral blood.
Recently the heart has been strongly implicated as the organ which determines irreversibility in shock whether caused by hemorrhage of other etiologies. Unfortunately, even the experimental
. . . [Full Text PDF of this Article]
Author Affiliations
URBANA, ILL
From the Section of Thoracic and Cardiovascular Surgery, Carle Memorial Hospital and Carle Clinic (Dr. Cooley); and from the Department of Physiology, University of Illinois (Mr. McIntosh).
Footnotes
Presented at the 20th Annual Meeting of the Central Surgical Association, Chicago, Feb 21-23, 1963.
This study was made possible by a grant from the United States Public Health Service.
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