8/2/2019 HSP-GU-321-009 Manejo de Shock por Quemaduras

1/6

AOKJILHJPBL@DULV_ZJAOHZVOP

MPmalk Flcm~ov n!!!!!!B!L!P!UM!X!O!Z!Y!O!@!ML!K!!!$!!!!!!!!!!!mc O{{9 9 9M ZKcLOHHJ_ZJAOHLP]@MVZGmO ^jvpmlk9 0 M# UCOPXM@O

@>hmgl9 BPU!GZ!06?!55=

XOFCO HJ @LKXJKMHL

?+ IZPXMNM@O@MLK6+ LFIJXM^LP0+ UVLNJPMLKOCJP O _ZMJKJP ^O HMVMGMHL8+ ULFCO@MLK HMOKO M JR@JU@MLKJP:+ AJXLHLCLGMO>+ O@XM MHOHJP 5 UVL@JHMAMJKXLP7+ OCGLVMXAL HJ O@XZO@MLK2+ MKHM@OHLVJP HJ J^OCZO@MLK=+ GCLPOVML M HJNMKM@MLKJP?5+FMFCMLGVONMO??+ VJGMPXVLP?6+OKJRLP

{J!C!O!F{L!V{L!9!!!!!{V!J!^{MP{>{9!!!!!!!!/{O{U1V{L{F{>!9!!!!!!!!!!!MMc'Zkmhoh hj _zjaohlp@mvzno Ucopxm oNJ@BO9

m Oglpx l65??

Uogmko? hj >

8/2/2019 HSP-GU-321-009 Manejo de Shock por Quemaduras

2/6

MM Blpum?9o/'Pmalk Flcm~ov

AOKJIL HJ PBL@D ULV_ZJAOHZVOPBLPUMXOCmYO@MLK /ZKcLOH HJ _ZJAOHLP ] @MVZGmO M ^jvpmlk9 0UCOPXM@O m

?+ IZPXMNM@O@MLKCo jrulpm`mlk hj co umjc o zk jpxmazcl xjvvkm`l qzj pzujvo clp aj`okmpalp hjhjnjkpo xmpzcov uvlhz`j `loqzco`mlk hj uvlxjckop hj co aoxvmy hjvam`o } zko pjvmj hj`oafmlp nnpm lp } fmlqznam`lp xokxl cl`ocjp `lal pmpxjvkm`lp jk cop Mcoaohop nopjphj cjpmlk nmpm`o xjvam`o hmvj`xo# mkhmvj`xo# } nopj hj cjpmlk fmlqznam`o+Co vjpuzjpxo nmpmluoxlclgm`o pj `ovo`xjvmyo ulv ~oplhvcoxo`clk } ozajkxl hj

ujvnzpmlk jk clp xjimhlp ~mofcjp ujknjvm`lp qzj uvlhz`j pocmho hj cmqzmhl mkxvo~op`zcovoc jpuo`ml mkxjvpxm`moc+ Jpxj jhjao kl plcl jp cl`oc pmkl hj xjimhlp ujvmnjvm`lp+JM jhjao `ovo`xjvnpxm`l hjc uo`mjkxj qzjaohl pj uvjpjkxo uov ~ovmlp aj`okmpalp`lal plk co cjpmlk jkhlxjcmoc hmvj`xo# clp `oafmlp vjgmlkocjp hj nczil pokgCmnkjl# jcjhjao opl`mohl o `oafmlp hj uvjpmlk bmhvlpxoxm`o } lk`lxm`o# co uvjpjk`mo hjbmuluvlxjmkjamo } jc jhjao opl`mohl o ajhmohlvjp mkncoaoxlvmlp+ JM jhjaogjkjvocmyokhl pj uvlhz`j `zokhl co jrxjkpmlk hj cop qzjaohzvop jp ao}lv hj/ ?:!65* OP@+ Jk nlvao ohm`mlkoc pj uzjhj o`lvkuokov jk nlvao xjauvoko hj hmpnzk`mlkaml`ovhc`o opl`moho+ Xlhl ?5 okxjvmlv uvjhmpulkj o zk jpxohl hj bmul~lcjamo xokxlvjcoxm~l `lal ofplczxl jc `zoc pj aokmnmjpxo `cmkm`oajkxj jk clp hmnjvjkxjp gvohlp hjjpxohl hj `blqzj bmul~lcjam`l "cmoaohl jk kzjpxvl `opl `blqzj hjc qzjaohl-+Hjphj co `vjo`mlk hj nlvazcop hj vjokmvko`mlk bnhvm`o uovo jc aokjil hj uo`mjkxjpqzjaohlp pj bo lfpjv~ohl zko hcpvkmkz`mlk uvlgvjpm~o hj co alvxocmhoh xjauvokoopl`moho oc cMoaohl @blqzj hjc qzjaohl+ Pmk jafovgl jk kzjpxvl uovp jp ozk`lazk ~jv jpxo uoxlclgno+ Cop uvmajvop blvop hjc xvoxoamjkxl plk nzkhoajkxocjp jkjc uvlklpxm l } co hmpvkmkz`mlk hj `laucm`o`mlkjp jk jpxlp uo`mjkxjp ulv ? 5 `zocizpxmnm`o co vjocmyo`mlk hj gzmop hj aokjil `lk jc nmk hj uvl~jjv zk ohj`zohl# voumhl} jpxokhovmyohl xvoxoamjkxl hj jpxlp uo`mjkxjp6+ LFIJXM^LP

Fvmkhov oc uo`mjkxj qzjaohl oxjk`mlk lulvxzko# luxmao j mkxjgvoc jk pzpkj`jpmhohjp hj poczh } vjpxofcj`jv o uovoajxvjp vkckmalp luxmalp pz jpxohlnmpmlclqm`l+

Hjp`ovxov uoxlclgnop ulxjk`mocajkxj noxocjp qzj uzjhjk pjv mgklvohop 5pzfj~oczohop jk jc uo`mjkxj qzj bo pznvmhl hj zko qzjaohzvo# uvmk`muocajkxjuoxlclgnop xvozvkoxm`op

Luxmamyov jk jc ajklv xmjaul ulpmfcj jc `laulkjkxj mkxvo~op`zcov } jc jpxohlbjalhmkovkm`o hjc uo`mjkxj `lk `blqzj uov qzjaohzvop! Vjhz`mv cop `laucm`o`mlkjp opl`mohop o co uvjpjk`mo hjc hjklamkohl @blqzj hjcqzjaohl+ Hmpamkzmv oc alvfma`vxobhoh xjvkuvoko+ Luxmvkmyov

Uogmko 6 hj >

8/2/2019 HSP-GU-321-009 Manejo de Shock por Quemaduras

3/6

?1111111111111111!!!!!!!M m m MM AOKJIL HJ PBL@D ULVM'M @lhmql9 BPU!GZ!06?!55=_ZJAOHZVOP

MM BLPUMXOCMYO@MLK MZKcLOH HJ _ZJAOHLP ] @MVZGMO / ^jvpmlk9 0

UCOPXM@O \M !{11111{111h

OC+@OI++HxOAO]LVHJ+FLGLXOl+`+'9'4O'c~x+{ & & ' c ' 9 & { c 9v{##'k& + & & ; & ! ; &ma>k Flcm~ov

0+ UVLNJPMLKOCJP O _ZMJKJP ^O HMVMGMHLUvlnjpmlkocjp hj jknjvajvno } ozrmcmovjp hj jknjvajvno+ Ajhm`lp gjkjvocjp#ajhm`lp vjpmhjkxjp vlxokxjp jk jc pjv~m`ml hj qzjaohlp# ajhm`lp jpuj`mocmpxop+8+ ULFCO@MLK HMOKO I JR@JU@MLKJPUo`mjkxjp ohzcxlp# `lk cjpmlkjp xjvam`op jrxjkpop ";?: !65*- hj ovjo `lvulvoc`lauvlajxmho# `lk `lauvlampl fjalhmkovkm`l 5 `lauvlampj hj bmulujvnzpmlkxmpzcov+Jr`juxl clp uo`mjkxjp ujhmoxvm`lp "ajklvjp hj ?: ovmjp-+:+ AJXLHLCLGMO^o/lvo`m>k voumho ] pmpxjaoxm`o mkm`mokhl `lk /o j~oczo`mlk } hjp`ovxj hj uoxl/lgnopxvozaoxm`op qzj ulxjk`mo/ajkxj uzjhjk `lalvlvkjxjv co ~mho+ Ulpxjvmlvajkxjvjokmao`clk bnhvm`o ogvjpm~o hohl jc jpxohl hj `bjqzj hjc qzjaohl `lk uvjpjk`moo kl hj bmulxjkpmlk } vjj~oczo`mlk ujvaokjkxj>+ O@XM^MHOHJP 5 UVL@JHMAMJKXLPNOPJ OGZHO9 5 O 68 blvopAokmnjpxo`mlkjp `cckm`op pmamcovjp oc Pbl`d bmul~lcjam`l9 mkqzmjxzh#' pjh#hjplvnjkxo`mlk# bmulxjkpmlk ovxjvmoc# xoqzc`ovhmo# xoqzmukjo# ~opl`lkpxvm``mlkujvmnjvm`o# nvmochoh hj uvjhlamkml hmpxoc kjkohl `oumcov Ijkxl# hmonlvjpxp# lcmgzvmo#jx`+

?+ Pmjauvj hjp`ovxj cjpmlkjp qzj uzjhok jpxov opl`mohop o pz mkjpxofmcmhohbjal`mkoam`o+ "nvo`xzvo hj ujc~mp# nvo`xzvop hj bzjplp covglp# cjpmlkofhlamkoc `jvvoho# cjpmlk xlvo`m`o `jvvoho-+

6+ O``jpl ~jklpl ujvmnjvm`l hj gvok `ocmfvj "}jc`l ?8 5 ?>-+ @lkpmhjvjpmazcxokjovkjkxj o``jhjv o zko ~mo `jkxvoc "Pzf`co~ml# }zgzcov# njalvoc-

0+ Vjulpm`mlk ~lczajxvm`o `lk `kpxoxlmhjp+ ckm`mj `lk flclp xmfmop hj ocxl~lczajk bopxo clgvov ajilvmo hj `mnvop xjkpmlkocjp+8+ Alkmxlvjl hj pmgklp ~mxocjp# xjkpmlk ovxjvmoc# nvj`zjk`mo `ovhmo`o# xjaujvoxzvo+

:+ J~oczj co ulpmfmcmhoh hj cjpmlk ulv aboco`mlk hj co ~mo ojvjo+ Hjxjvamkjulpmfcjp `oa fmlp hmkovkm`lp pjqzk jc aj`okmpaj hj cjpmlk# j/ jpxohl o`xzoc }jc ~lczajk bnhvm`l o mknzkhmv+

>+ Ajhm`m>k hj U^@ :m xvoj 5 o``jhj o zko ~mo ~jklpo `jkxvoc7+ @oxjxjvmyo`mlk ~jpm`oc# vkjlv`mlk blvovmo hj Hmzvjpmp# uvmk`muoc lfijxm~l

aokxjkjvco jk vokglp hj 5+8 ! 5+2 ``m dmcl/ bL/'2+

Uogmko 0 hj >

8/2/2019 HSP-GU-321-009 Manejo de Shock por Quemaduras

4/6

MMMM / P m a l k Flcm~ov/M{

M AOKJILHJPBL@DuoV @>hmgl BPU!GZ!06?!55= M MM _ZJAOLZVOP !!$!!!!!!!!!!!? '+++L#+@n &A+,#{& ?

?

??

'/ BLPUMX OCmYO@MLK m + ! # 'M ZKcLOH HJ {{{{{{{P ] @MVZGmO m ^jvpmlk9 0 M &+##&'##''';'''' Mm

2# @lkxvlcjp hj coflvoxlvml# @B# bjvk``copmnm`o`mlk+ Gmm`jamo# jcj`xvlcmxlp# nzk`mlkvjkoc# ocfzvkmko# Uvzjfop hj nzk`m>k bjuoxm`o# uov`moc hj lvmko# jx`+# hjo`zjvhl o `vmxjvml ajhm`l+ Xlaov xok xjauvokoajkxj `lal pjo ulpmfcj `lkj/ nmk hj j~oczov `oafmlp `lk jc xvoxovkmjkxl jpxofmj`mhl+

=+ Gopmajxvno ovxjvmoc?5+ Jcj`xvl`ovhmlgvoao??+ Mkm`mj aokjil 5 hmnmjvo hj o`zjvhl o bocmoyglp `cckm`lp9 Cjpmlk hj ~mo ojvjo#

cjpmlkjp lnxocalclqm`op# pnkhvlaj `lauovxmvkjkxoc+ Mkm`mov 5 `lkxmkzov aokjilhj uoxlclgnop uvjjrmpxjkxjp

?6+ Aokjil } `lkxvlc hj lxvlp jpxohlp+ Jafovoyl+?0+ Aokjil hjc hlclv# alvnmko 0!: agv# C^+ `oho 8 o > blvop "xmxzcohl pjqzk

vjpuzjpxo o hlclv pjqzk jp`oco hj ajhm`mlk hj hlclv zxmcmyoho-?8+ Pj uzjhj zxmcmyov mklxvlum`l 5 ~opluvjplv pjgzk co `lkhm`mlk `cnkm`o hjcuo`mjkxj "5 ulpmfcjp `lkxvomkhm`o`mlkjp uovo pz zp`-# zkm`oajkxj `lal

ajhmho xvokpmxlvmo uovo clgvov aokxjkjv `mnvop xjkpmlkocjp ajhmop "XOA-luxmvkop# amjkxvop pj clgvo luxmamyov jc `laulkjkxj mkxvo~op`zcov`lauvlajxmhl+

?:+ Mkm`ml hj plcz`mlk pocmko bmujvx>km`o oc 0* "2P0*- jk flclp "6:5 !055`` `oho0 5 8 ~j`jp oc hmo- 5 mknzpmlk `lkxmkzo pj`zk co kj`jpmhoh "65!:5 `` blvo-+Uopov uvjnjvmfcjajkxj ulv o``jpl `jkxvoc+ Pm pj vjqzmjvj uov o``jpl ujvmnjvm`lpj hjfj uopov jk nlvao pmazcxokjo "~mo jk }- `ok clp Mnqzmhlp hj fopj `lk jcnmk hj hmpamkzmv bmujvxlkm`mhoh hj co ajy`co+

?>+ Kl zxmcmyov Hmzvjxm`lp jk uo`mjkxj qzj uvjpjkxo lcmgzvmo+?7+ Vjocmyov `ocjkxoamjkxl uopm~l } o`xm~l pm :j vjqzmjvj jk nlvao ujvaokjkxj+?2+ Vjj~oczj oc uo`mjkxj pjqzk uovo`cmkm`lp hj mkgvjpl# gopjp ovxjvmocjp# hmzvjpmp

} pmgklp `cnkm`lp hj jpxohl kjalhmkovkm`o+ Oizpxj jc xvoxoamjkxl uovolfijxm~lp xjvoujzxm`lp+

NOPJ PZFOGZHO9Clp uo`mjkxjp qzj mkgvjpok vjamxmhlp jk nopj pzfogzho hj cjpmlk xjvam`o } pjjk`zjkxvok jk jpxohl hj `blqzj hjc qzjaohl `lk bmulxjkpmlk# uvjpjkxok ao}lvvmjpgl hj `laucm`o`mlkjp } vjqzmjvjk ~lczvkjkjp hj vjokmao`mlk bn`vm`o az`blao}lvjp ulv ? 5 `zoc vjqzmjvjk zko j~oczo`mlk `lkpxokxj# alkmxlvjl jpxvm`xl }vj~oclvo`mlk xjauvoko+Jk jc uo`mjkxj qzj pj mkm`ml vjokmvko`mlk bnhvm`o jk co nopj ogzho hj cop uvmajvop68 blvop# 5 qzj mkgvjpo jk nopj pzfogzho hj pz cjpmlk xjvvkm`o# jc uo`mjkxj uzjhjkl uvjpjkxok bmulxjkpmlk 5 bofjvpj `lvvjgmhl+ Jk jpxj `opl pj j~oczo coulpmfmcmhoh hj jpxohl hj `bjqzj hjc qzjaohl "pmk bmulxjkpx`k- hohl ulvbmulujvnzpmlk xmpzcov qzj pj aokmnmjpxo ulv jcj~o`m>k hj o`mhl co`xm`l# o`mhlpmpajxof>?m o alhjvoho 5 pj~jvo# jcj~o`m>k hj nzk`mlk vjkoc z lcmgzvmo+ Pj vjocmyozko vjj~oczo`mlk pjqzk clp uovo`cmkm`lp hj `lkxvlc ^ pj `lkxmkzo co vjokmvko`clk

Uogmko 8 hj >

8/2/2019 HSP-GU-321-009 Manejo de Shock por Quemaduras

5/6

M M MMM AOKJIL HJ PBL@D ULV @lhmql BPU!GZ!06?!55= m M;! ? ! ! ! B ! 9 ! 9 ! 9 ! M 4 ! 9 ! { ! M { ! 9 ! 9 ! M 9 ! K ! ! ! ! ! M ! M! ! ! ! ! ! ! ! $ 9 9 v # I & 1 MM ZKcLOH HJ _ZJAOHLP ] @ MVZG mO m ^jvpmlk9 0

UCOPXM@O M

bmhvljcj`xvlcmxm`o mkm`moc zxmcmyokhl jc ajklv ~lczajk bnhvm`l kj`jpovml uovo pzxvoxoamjkxl+7+ OCGLVMXAL HJ O@XZO@MLK^jv hl`zajkxl okjrl2+ MKHM@OHLVJP HJ J^OCZO@MLKJ~oczohl pjqzk clp vjgmpxvlp hj bmpxlvmo `bkm`o+ Pj vjqzmjvj uovo ulhjv vjocmyov zkoj~oczo`m>k `lauovoxm~o jkxvj jc mkgvjpl } co vjpuzjpxo oc xvoxoamjkxl jpxofcj`mhl jcvjgmpxvl `laucjxl hjc nlvaoxl hj Bmpxlko @cma`o hj mkgvjpl o co Zkmhoh hj_zjaohlp jk hlkhj kl plcl pj j~oczo jc jpxohl `lk ~ovmofcjp bjalhaoam`op pmkl`lk pmgklp `cckm`lp qzj j~oczok jc jpxohl hj ujvnzpm>k xmpzcov=+ GCLPOVML M HJNMKm@mLKJPKl oucm`o o cop hjnmkm`mlkjp o`xzoxjp+?5+FMFCMLGVONmO

?!+ @zvvjkx xvjoxajkx ln pj~jvjc} fzvkjh uoxmjkxp+ Kgz}jk X+X# Gmcumk H+O# Aj}jvK+O# Bjvkhlk H+K+ Okkocp ln pzvgjv} Iok 655>4 660 "?-' ?:!6>+6!+ Oajvm`ok @lccjgj ln Pzvgjlkp+ Mkizvmjp hzj xl fzvkp okh `lch+ Mk9 O@P `laamxxjjlk xvozao# jh+ Oh~ok`jh xvozao cmnj pzuulvx nlv hl`xlvp "OXCP-+ @bm`ogl9 O@P#?==79670!22+0!+ Vlkg Rmokg Rz# Fvohnlvh P+ Wjjdp+ Fzvkp+ Vjgjkjvoxm~j ajhm`mkj okh xbjvou}+Dovgjv Uzfcmpbjvp+ 6558+8!+ X+ Czkh# B 5# V+D+ Vjjh# Uoxblgjkjpmp ln Jhjao Nlvaoxmlk mk Fzvk Mkizvmjp+Wlvch I+ Pzvg+ ^lc+ ?># Kl+?# Iok+cNjf+ ?==6:!+ Fzvk mkizvmjp+ U+OAovdlo# I+ c+o}lko# C+@ovzplo# H+W+ Alymkglf# OGofvmjccmo+@zvv Lumk Okojpxbjpmlm# 65504 ?>9?20!?=?+>!+ Aokogjajkx ln xbj fzvkjh xvozao uoxmjkx focok`mkg `lkncm`xmkg uvmlvmxmjp+ D+A+Vlpjkdvoky# V+ Pbjvmhok+ Fzvkp+ 65564 629 >>:!>>=7!+ Amxvo P# Nmxygjvoch A# @oajvlk U# jx oc9 Nczmh vjpzp`mxoxmlk mk aoilv fzvkp+ OKY IPzvg 655>4 7>90:!02

Uogmko : hj >

8/2/2019 HSP-GU-321-009 Manejo de Shock por Quemaduras

6/6

MT

ni0T M P m a l k Flcm~ovMC

AOKJIL HJ PBL@D ULV_ZJAOHZVOP

BLPUMX OCmYO@MLK mZKcLOH HJ _ZJAOHLP ] @MVZGMO / ^jvpmlk9 0UCOPXM@O

2!+ V+J+ Fovvlw jx o/+ Jovc} nczmh vjpzp`mxoxmlk mauvl~jp lzx`lajp mk pj~jvjc} fzvkjh`bmchvjk 9 Vjpzp`mxoxmlk 8: "6555- =?!=>=!+ F+O+ Coxjkpjv+ @vmxm`oc `ovj ln xbj fzvk uoxmjkx9 Xbj nmvpx 82 blzvp+ @vmx @ovj Ajh655= ^lc+ 07# Kl+ ?5+ ?!52?5!+ Paocc ^lczaj B}ujvxlkm` Nczmh Xvjoxajkx ln Fzvkp+ GM Jcgml+ I Fzvkp . PzvgWlzkh @ovj Tpjvmoc lkcmkjQ 655046"?-9:+ O~omcofcj nvla9 ZVC9bxxu9,,www+ilzvkoclnfzvkp+`la

??+ VJGMPXVLPK+O

?6+OKJRLP?6+? Ocglvmxal hj aokjil jk jc uo`mjkxj `lk `bjqzj hjc qzjaohl+

Uogmko > hj >

http://www.journalofburns.com/http://www.journalofburns.com/