Adherence to guideline in hydrating traumatic patients with crystalloid fluids: A single center experience from Southern Iran
Objective: The adherence of the physicians to guidelines in resuscitation of the patients is of great importance since it can predict the outcome. To evaluate the adherence of the physicians of our center in hydration of traumatic patients with crystalloids regarding the Advanced Trauma Life Support...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Kerman University of Medical Sciences
2023-01-01
|
| Series: | Journal of Emergency Practice and Trauma |
| Subjects: | |
| Online Access: | http://www.jept.ir/article_92102_df5dcc87fcff3eb572a4b7bcd442056d.pdf |
| _version_ | 1797828087553982464 |
|---|---|
| author | Shahram Paydar Armin Akbarzadeh Ladan Nasermoadeli Vahid Mohammadkarimi |
| author_facet | Shahram Paydar Armin Akbarzadeh Ladan Nasermoadeli Vahid Mohammadkarimi |
| author_sort | Shahram Paydar |
| collection | DOAJ |
| description | Objective: The adherence of the physicians to guidelines in resuscitation of the patients is of great importance since it can predict the outcome. To evaluate the adherence of the physicians of our center in hydration of traumatic patients with crystalloids regarding the Advanced Trauma Life Support (ATLS) guidelines.
Methods: We designed an algorithm obtained from ATLS guidelines using vital signs
and status of bleeding of the traumatic patients to classify them. After categorizing the patients according to the algorithm, we evaluated the adherence of the physicians to the guideline in hydration of traumatic patients with crystalloids.
Results: This is a cross-sectional study in which 998 traumatic patients who were admitted to the emergency ward of Rajaee trauma hospital were enrolled. Most of the patients were men (89.6%) and the most common causes of traumatic injuries were traffic accidents.
Proper hydration was seen in only 14.7% of the patients. Most of the patients were overhydrated (85%) regarding both our algorithm and the patients’ base excess.
Conclusion: The present study showed that the adherence of physicians in our center
in resuscitation with crystalloid was low. Also, most of the traumatic patients were
overhydrated with crystalloids. It is suggested that physicians retrain concerning the
side effects of over hydration. In addition, we need a user friendly and more applicable guideline for hydration with crystalloids. |
| first_indexed | 2024-04-09T12:58:46Z |
| format | Article |
| id | doaj.art-f6aa1feb24174d9faf8547e211c7a3cc |
| institution | Directory Open Access Journal |
| issn | 2383-4544 |
| language | English |
| last_indexed | 2024-04-09T12:58:46Z |
| publishDate | 2023-01-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | Journal of Emergency Practice and Trauma |
| spelling | doaj.art-f6aa1feb24174d9faf8547e211c7a3cc2023-05-13T10:04:37ZengKerman University of Medical SciencesJournal of Emergency Practice and Trauma2383-45442023-01-0191912https://doi.org/10.34172/jept.2022.22Adherence to guideline in hydrating traumatic patients with crystalloid fluids: A single center experience from Southern IranShahram Paydar0https://orcid.org/0000-0002-6980-2576Armin Akbarzadeh1https://orcid.org/0000-0002-3873-1218Ladan Nasermoadeli2Vahid Mohammadkarimi3https://orcid.org/0000-0002-7356-1795Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, IranBone and Joint Diseases Research Center, Department of Orthopedic Surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IranTrauma Research Center, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Internal Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IranObjective: The adherence of the physicians to guidelines in resuscitation of the patients is of great importance since it can predict the outcome. To evaluate the adherence of the physicians of our center in hydration of traumatic patients with crystalloids regarding the Advanced Trauma Life Support (ATLS) guidelines. Methods: We designed an algorithm obtained from ATLS guidelines using vital signs and status of bleeding of the traumatic patients to classify them. After categorizing the patients according to the algorithm, we evaluated the adherence of the physicians to the guideline in hydration of traumatic patients with crystalloids. Results: This is a cross-sectional study in which 998 traumatic patients who were admitted to the emergency ward of Rajaee trauma hospital were enrolled. Most of the patients were men (89.6%) and the most common causes of traumatic injuries were traffic accidents. Proper hydration was seen in only 14.7% of the patients. Most of the patients were overhydrated (85%) regarding both our algorithm and the patients’ base excess. Conclusion: The present study showed that the adherence of physicians in our center in resuscitation with crystalloid was low. Also, most of the traumatic patients were overhydrated with crystalloids. It is suggested that physicians retrain concerning the side effects of over hydration. In addition, we need a user friendly and more applicable guideline for hydration with crystalloids.http://www.jept.ir/article_92102_df5dcc87fcff3eb572a4b7bcd442056d.pdfcrystalloid solutionsshockhemorrhagicguideline adherenceadvanced trauma life support care |
| spellingShingle | Shahram Paydar Armin Akbarzadeh Ladan Nasermoadeli Vahid Mohammadkarimi Adherence to guideline in hydrating traumatic patients with crystalloid fluids: A single center experience from Southern Iran Journal of Emergency Practice and Trauma crystalloid solutions shock hemorrhagic guideline adherence advanced trauma life support care |
| title | Adherence to guideline in hydrating traumatic patients with crystalloid fluids: A single center experience from Southern Iran |
| title_full | Adherence to guideline in hydrating traumatic patients with crystalloid fluids: A single center experience from Southern Iran |
| title_fullStr | Adherence to guideline in hydrating traumatic patients with crystalloid fluids: A single center experience from Southern Iran |
| title_full_unstemmed | Adherence to guideline in hydrating traumatic patients with crystalloid fluids: A single center experience from Southern Iran |
| title_short | Adherence to guideline in hydrating traumatic patients with crystalloid fluids: A single center experience from Southern Iran |
| title_sort | adherence to guideline in hydrating traumatic patients with crystalloid fluids a single center experience from southern iran |
| topic | crystalloid solutions shock hemorrhagic guideline adherence advanced trauma life support care |
| url | http://www.jept.ir/article_92102_df5dcc87fcff3eb572a4b7bcd442056d.pdf |
| work_keys_str_mv | AT shahrampaydar adherencetoguidelineinhydratingtraumaticpatientswithcrystalloidfluidsasinglecenterexperiencefromsoutherniran AT arminakbarzadeh adherencetoguidelineinhydratingtraumaticpatientswithcrystalloidfluidsasinglecenterexperiencefromsoutherniran AT ladannasermoadeli adherencetoguidelineinhydratingtraumaticpatientswithcrystalloidfluidsasinglecenterexperiencefromsoutherniran AT vahidmohammadkarimi adherencetoguidelineinhydratingtraumaticpatientswithcrystalloidfluidsasinglecenterexperiencefromsoutherniran |