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01.12.2019 | Review | Ausgabe 1/2019 Open Access

International Journal of Emergency Medicine 1/2019

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

Zeitschrift:
International Journal of Emergency Medicine > Ausgabe 1/2019
Autoren:
G. H. Ramesh, J. C. Uma, Sheerin Farhath
Wichtige Hinweise

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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.
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