Fluid resuscitation in trauma: what are the best strategies and fluids?

International Journal of Emergency Medicine

article

Ramesh, G. H.¹  Uma, J. C.²  Farhath, Sheerin³ 

[1] Emergency Department BMC & RI. Victoria Hospital;K.C.G Hospital 89;Columbia Asia Hospital Yeshwanthpur 26/4

关键词: Fluid resuscitation;    Trauma;    Delayed resuscitation;    Permissive hypotension;    Prehospital care;    Colloid;    Crystalloid;   

DOI  :  10.1186/s12245-019-0253-8

学科分类：工业工程学

来源: Springer

【 摘 要 】

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. 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. 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.

【 授权许可】

CC BY|CC0