Table 1

The ATLS classification of hypovolaemic shock1

Class IClass IIClass IIIClass IV
Blood loss in %<1515–3030–40>40
Pulse rate<100100–120120–140>140
Systolic blood pressureNormalNormalDecreasedDecreased
Pulse pressureNormal or increasedDecreasedDecreasedDecreased
Respiratory rate14–2020–3030–40>35
Mental statusSlightly anxiousMildly anxiousAnxious, confusedConfused, lethargic
Urine output (mL/h)>3020–305–15Negligible
Fluid replacementCrystalloidCrystalloidCrystalloid and bloodCrystalloid and blood