Classes of the American College of Surgeons (ACS) for Acute Hemorrhage

Purpose: To categorize the blood loss from a patient using the American College of Surgeons (ACS) classification system.

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Evaluation

Are you evaluating a patient who is bleeding?

Yes

Age of the person

Gender of the patient

Male

Female

Lean body weight

Blood loss

Is capillary refill normal?

Yes

Pulse

beats per minute

Systolic blood pressure

mm Hg

Diastolic blood pressure

mm Hg

Respirations per minute

breaths per minute

Urine output

mL per hour

Mental status

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Estimated blood volume

Pulse pressure

Number of Class I findings

Number of Class II findings

Number of Class III findings

Number of Class IV findings

ACS Class of hemorrhage based on blood volume loss alone

Intravenous replacement solutions

Caution: A qualified health practitioner should verify all results.
Keep patient data confidential and comply with all legal requirements.

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Other Testing
Criteria For Diagnosis
Severity, Prognosis, Stage
Complications
Differential Diagnosis And Mimics, Red Flags
- Predicting Need for Allogenic Blood Transfusion Following Surgery for Lung Cancer

Therapy

Options
- Transfusion Planning Algorithm of Weber in Surgical Patients with Cancer of the Head and Neck (TPRA Model)
Selection
Dosage Calculations

Monitoring

Complication Detection
- Risk Index of McCluskey et al for Predicting Massive Blood Transfusion Associated with Liver Transplant Surgery

Specialty

Clinical Laboratory
Surgery, general
Anesthesiology
Emergency Medicine
Critical Care

Objective

criteria for diagnosis
severity
prognosis
stage

ICD-10

D62 - Acute posthaemorrhagic anaemia
T79 - Certain early complications of trauma, not elsewhere classified
Z51.3 - Blood transfusion [without reported diagnosis]

Info

Purpose: To categorize the blood loss from a patient using the American College of Surgeons (ACS) classification system.

Specialty: Clinical Laboratory, Surgery, general, Anesthesiology, Emergency Medicine, Critical Care

Objective: criteria for diagnosis, severity, prognosis, stage

ICD-10: D62, T79, Z51.3,

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