Clinical Signs of Acute Hemorrhagic shock Blood loss Clinical signs <15 Slightly increased heart rate, local swelling, bleeding 15-30 Increased heart rate. increased diastolic blood pressure, prolonged capillary refill 30-50 Above findings plus hypotension, confusion, acidosis, decreased urine output >50 Refractory hypotension, refractory acidosis deathClinical Signs of Acute Hemorrhagic Shock % Blood loss Clinical Signs < 15 Slightly increased heart rate, local swelling, bleeding 15-30 Increased heart rate, increased diastolic blood pressure, prolonged capillary refill 30-50 Above findings plus: hypotension, confusion, acidosis, decreased urine output > 50 Refractory hypotension, refractory acidosis, death