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Physiological severity |
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Age: |
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Cardiac signs: |
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Respiratory: |
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Syst blood pressure: |
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Pulse: |
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Glasgow coma scale: |
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Haemoglobin (g/dl): |
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White cell count: |
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Urea (mmol/l): |
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Sodium (mmol/l): |
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Potassium (mmol/l): |
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ECG: |
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Operative severity |
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Operative severity: |
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Multiple procedures: |
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Total blood loss (ml): |
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Peritoneal soiling: |
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Malignancy: |
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Mode of surgery: |
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