Traumatic shock in polytrauma: Circulatory parameters, biochemistry, and resuscitation

Abstract Traumatic shock in multiple trauma patients essentially represents hypovolemic shock in association with the effects and sequelae of tissue damage. The primary factor rendering the patient at peril to develop multi‐organ failure is the persistence of impairment of the microcirculation. Resuscitation must take place efficiently to prevent shock if possible or to treat shock when manifest. Primary volume replacement with red cell‐free solutions, preferably with a long‐lasting colloid, is recommended as the most important single step in resuscitation. Sequential analysis of circulatory and biochemical parameters, together with evaluation of clinical symptoms, is needed to reverse traumatic shock as a prerequisite for surgical management.