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Why you should read this article: • To enhance your understanding of the physiology of post-operative haemorrhage • To understand the compensatory mechanisms seen during haemorrhage and how these present as altered observations • To familiarise yourself with the interventions used to halt haemorrhage and restore intravascular volume Improved surgical outcomes have been achieved as a result of preoperative risk assessments and developments in surgical and anaesthetic techniques. However, post-operative haemorrhage remains a life-threatening complication requiring swift recognition and management. This article explores the compensatory mechanisms the body employs during haemorrhage and how these may present as altered observations that can aid early recognition. It also describes the rapid assessment of patients using the ABCDE (airway, breathing, circulation, disability, exposure) approach and outlines the management interventions used to halt the bleeding and restore intravascular volume. [ABSTRACT FROM AUTHOR]

This article discusses the clinical features of haemorrhagic shock and the strategies used to manage the condition, focusing on the presenting symptoms, classifications, compensatory mechanisms, physiological changes and nursing interventions. Haemorrhagic shock is a condition of reduced tissue perfusion as a result of the inadequate delivery of oxygen and nutrients necessary for cellular function. The condition is secondary to large-volume blood loss, often associated with trauma or complications following surgical or medical procedures. Identifying and stopping the source of the uncontrolled bleeding is essential. Because of the life-threatening nature of the condition, it is important that haemorrhagic shock is identified promptly and appropriate management is commenced without delay. [ABSTRACT FROM AUTHOR]

A quiz concerning haemorrhagic shock is presented.