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The period 4 hours post trauma where the patient is in shock and there is hypoperfusion to the tissues is called ebb.
The period following trauma when a patient is in shock and has hypoperfusion to the tissues is referred to as the ebb. Except for cortisol, norepinephrine, and epinephrine, free fatty acid mobilization during metabolic stress can be attributed to all of the following hormones.
Tissue hypoperfusion is common in patients with overt shock, but it can also occur in patients without obvious shock physiology. Tissue hypoperfusion, if left untreated, contributes to the development of multiple organ dysfunction and, eventually, death. Sepsis is associated with cardiovascular changes, which may result in tissue hypoperfusion. It is critical to recognize sepsis and tissue hypoperfusion early in order to provide appropriate hemodynamic support and prevent irreversible organ damage.
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