Fluid Resuscitation in Trauma

Fluid resuscitation in trauma

Appropriate fluid replacement is an essential component of trauma fluid resuscitation. Once he orrhage is controlled, restoration of normovolemia is a priority. In the presence of uncontrolled haemorrhage, aggressive fluid management may be harmful. The crystalloid-colloid debate continues but existing clinical practice is more likely to reflect local biases rather than evidence based medicine....

Fluid Choice for Resuscitation in Trauma

The “ideal” fluid replacement regimen in trauma patients is still discussed controversially. Aside from blood, several nonblood alternatives—including crystalloids, hypertonic solutions, albumin, and nonprotein (synthetic) colloids—are available to correct hypovolemia in the trauma patient. Interpretation of the literature is difficult because of variations in study design, patient population, ...

Current Issues in Fluid Resuscitation Following Trauma

Fluid resuscitation for the trauma patient.

Attempts at prehospital fluid replacement should not delay the patient's transfer to hospital. Before bleeding has been stopped, a strategy of controlled fluid resuscitation should be adopted. Thus, the risk of organ ischaemia is balanced against the possibility of provoking more bleeding with fluids. Once haemorrhage is controlled, normovolaemia should be restored and fluid resuscitation targe...

Vascular access, fluid resuscitation, and blood transfusion in pediatric trauma

Trauma care in the general population has largely become protocol-driven, with an emphasis on fast and efficient treatment, good team communication at all levels of care including prehospital care, initial resuscitation, intensive care, and rehabilitation. Most available literature on trauma care has focused on adults, allowing the potential to apply concepts from adult care to pediatric care. ...