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- W2769014920 abstract "Trauma is a leading cause of death, with hemorrhage being a major factor in many of these deaths. Principles of prehospital management of these patients include controlling external bleeding, administration of intravenous fluids, and rapid transport to definitive care. Restoration of the intravascular volume with intravenous fluids in the setting of hemorrhagic shock is controversial because isotonic solutions, such as normal saline (NS) or Ringer lactate, are required in large volumes to restore hemodynamic stability. These large volumes are associated with coagulation disturbances; alterations in acid-base balance; and heart, lung, and gastrointestinal dysfunction in those who survive to hospital admission. Although permissive hypotension strategies for trauma patients before definitive care may be of benefit to some, prehospital intravenous fluid resuscitation is the first-line treatment for trauma patients with shock. Russell D. MacDonald, MD, MPH, FCFP, FRCPC, is the medical director at Ornge Transport Medicine; medical advisor at Toronto Paramedic Services; an associate professor in the Faculty of Medicine at the University of Toronto; and an attending staff member at Sunnybrook Health Sciences Centre in Toronto, Ontario, Canada. He can be reached at [email protected]" @default.
- W2769014920 created "2017-12-04" @default.
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- W2769014920 date "2018-01-01" @default.
- W2769014920 modified "2023-09-25" @default.
- W2769014920 title "Articles That May Change Your Practice: Hypertonic Fluid Resuscitation in Trauma" @default.
- W2769014920 doi "https://doi.org/10.1016/j.amj.2017.10.002" @default.
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- W2769014920 hasPublicationYear "2018" @default.
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