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Blood Loss and Shock

Elsa Hirvela, MD
Arch Surg. 1996;131(11):1233. doi:10.1001/archsurg.1996.01430230115022.
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This slender gem of a volume on the physiology of blood loss and shock was first published in Great Britain in 1994. One primary goal is reintroduction of the seminal work of Henry Bancroft, professor of physiology at Queen's University of Belfast, Ireland, 1939, who described a stage of hypovolemic shock associated with bradycardia and hypotension. The authors point out that recognition of this phase is ignored in the standard textbook descriptions of hemorrhagic shock. The contributors include eminent cardiovascular physiologists and clinicians, who extensively review the experimental aspects of hypovolemic shock, cardiovascular physiology, the effect of hypovolemic shock on regional perfusion, and selected clinical aspects of hypovolemic shock, including monitoring.

The physiologically oriented clinician and the cardiovascular physiologist will especially enjoy the sections on the use of functional hemorrhage models in human studies and the lucid chapter about autoregulation of blood flow. Chapters about cardiovascular sensors, central integration, and


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