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Table 1 Interpretation of the ATLS shock classification of hypovolemic shock by Mutschler and colleagues using modifications and numeric interpretations [1, 2, 6].

From: Simulating the methodological bias in the ATLS classification of hypovolemic shock: a critical reappraisal of the base deficit renaissance

 

Class I

Class II

Class III

Class IV

Blood loss in %

< 15

15–30

30–40

> 40

Mental status

GCS = 15 (Slightly anxious or normal)

GCS = 15 (Mildly anxious)

GCS 12–14 (Anxious/confused)

GCS < 12 (Confused/lethargic)

Heart rate

< 100

100–120

120–140

> 140

Systolic blood pressure

≥ 110 (Normal)

≥ 100 (Normal)

< 100 (Decreased)

< 90 (Decreased)

Base deficit

≤ 2.0

> 2.0–6.0

> 6.0–10.0

> 10.0

  1. GCS Glascow coma scale; Heart rate in beats per minute; Systolic blood pressure in mmHg; Base Deficit in mmol/L