Fluid resuscitation in trauma: what are the best strategies and fluids?
Abstract Background Traumatic injuries pose a global health problem and account for about 10% global burden of disease. Among injured patients, the major cause of potentially preventable death is uncontrolled post-traumatic hemorrhage. Main body This review discusses the role of prehospital trauma c...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-12-01
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| Series: | International Journal of Emergency Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12245-019-0253-8 |
| _version_ | 1818602423566991360 |
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| author | G. H. Ramesh J. C. Uma Sheerin Farhath |
| author_facet | G. H. Ramesh J. C. Uma Sheerin Farhath |
| author_sort | G. H. Ramesh |
| collection | DOAJ |
| description | Abstract Background Traumatic injuries pose a global health problem and account for about 10% global burden of disease. Among injured patients, the major cause of potentially preventable death is uncontrolled post-traumatic hemorrhage. Main body This review discusses the role of prehospital trauma care in low-resource/remote settings, goals, principles and evolving strategies of fluid resuscitation, ideal resuscitation fluid, and post-resuscitation fluid management. Management of fluid resuscitation in few special groups is also discussed. Conclusions Prehospital trauma care systems reduce mortality in low-resource/remote settings. Delayed resuscitation seems a better option when transport time to definitive care is shorter whereas goal-directed resuscitation with low-volume crystalloid seems a better option if transport time is longer. Few general recommendations regarding the choice of fluid are provided. Adhering to evidence-based clinical practice guidelines and local modifications based on patient population, available resources, and expertise will improve patient outcomes. |
| first_indexed | 2024-12-16T13:07:03Z |
| format | Article |
| id | doaj.art-b21e530ae5fb46c1a595724b5641f9b4 |
| institution | Directory Open Access Journal |
| issn | 1865-1372 1865-1380 |
| language | English |
| last_indexed | 2024-12-16T13:07:03Z |
| publishDate | 2019-12-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Emergency Medicine |
| spelling | doaj.art-b21e530ae5fb46c1a595724b5641f9b42022-12-21T22:30:43ZengBMCInternational Journal of Emergency Medicine1865-13721865-13802019-12-011211610.1186/s12245-019-0253-8Fluid resuscitation in trauma: what are the best strategies and fluids?G. H. Ramesh0J. C. Uma1Sheerin Farhath2Emergency Department BMC & RI. Victoria HospitalK.C.G Hospital 89Columbia Asia Hospital Yeshwanthpur 26/4Abstract Background Traumatic injuries pose a global health problem and account for about 10% global burden of disease. Among injured patients, the major cause of potentially preventable death is uncontrolled post-traumatic hemorrhage. Main body This review discusses the role of prehospital trauma care in low-resource/remote settings, goals, principles and evolving strategies of fluid resuscitation, ideal resuscitation fluid, and post-resuscitation fluid management. Management of fluid resuscitation in few special groups is also discussed. Conclusions Prehospital trauma care systems reduce mortality in low-resource/remote settings. Delayed resuscitation seems a better option when transport time to definitive care is shorter whereas goal-directed resuscitation with low-volume crystalloid seems a better option if transport time is longer. Few general recommendations regarding the choice of fluid are provided. Adhering to evidence-based clinical practice guidelines and local modifications based on patient population, available resources, and expertise will improve patient outcomes.https://doi.org/10.1186/s12245-019-0253-8Fluid resuscitationTraumaDelayed resuscitationPermissive hypotensionPrehospital careColloid |
| spellingShingle | G. H. Ramesh J. C. Uma Sheerin Farhath Fluid resuscitation in trauma: what are the best strategies and fluids? International Journal of Emergency Medicine Fluid resuscitation Trauma Delayed resuscitation Permissive hypotension Prehospital care Colloid |
| title | Fluid resuscitation in trauma: what are the best strategies and fluids? |
| title_full | Fluid resuscitation in trauma: what are the best strategies and fluids? |
| title_fullStr | Fluid resuscitation in trauma: what are the best strategies and fluids? |
| title_full_unstemmed | Fluid resuscitation in trauma: what are the best strategies and fluids? |
| title_short | Fluid resuscitation in trauma: what are the best strategies and fluids? |
| title_sort | fluid resuscitation in trauma what are the best strategies and fluids |
| topic | Fluid resuscitation Trauma Delayed resuscitation Permissive hypotension Prehospital care Colloid |
| url | https://doi.org/10.1186/s12245-019-0253-8 |
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