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Urgent care in gynaecology: Resuscitation and management of sepsis and acute blood loss
Best Practice & Research Clinical Obstetrics & Gynaecology, 09/09/09
Fischerova D – Sepsis and/or acute blood loss can be encoutered as an emergency condition in gynaecology, especially in women with ectopic pregnancy/miscarriage, acute pelvic inflammatory disease (PID)/tuboovarian abscesses, post–puerperal sepsis/haemorrhage and even in postoperative scenarios. In haemorrhagic shock, the treatment primarily involves controlling haemorrhage, reversal of possible coagulopathy and administration of sufficient volumes of fluids and blood products to restore normal tissue perfusion.
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