PMID: 9444508Jan 28, 1998Paper

Fluid resuscitation

European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine
C Myers

Abstract

Contention over fluid resuscitation is not new. The issues however have changed considerably. The crystalloid/colloid debate has largely reached a stalemate with little to define clear differences between the two especially early in traumatic shock when increased capillary permeability is a minor issue. Blood, despite its difficulties and its cost is now safer than ever before and we will have to wait a number of years before routine use of blood substitutes becomes possible. Hypertonic saline and hypertonic saline dextran solutions used as an early bolus of 4-6 ml/kg and in conjunction with isotonic crystalloids and blood appear to be the new resuscitation fluids of first choice for haemorrhagic shock and there will be a progressive swing towards these fluids over the next 5 years. Application of the principles of minimal volume or delayed resuscitation requires the reconsideration of many entrenched attitudes and expectations present in the traditional management of haemorrhagic shock. Currently there is hard evidence to support its use only in ruptured AAA and penetrating truncal trauma but the application of the principles should be much more widespread. Minimal volume resuscitation emphasizes the need for urgent investigat...Continue Reading

Citations

Mar 20, 2002·Burns : Journal of the International Society for Burn Injuries·Keith Allison
Jan 1, 2004·Accident and Emergency Nursing·Keith Allison, Keith Porter
Oct 26, 2005·Shock·Michael T HandriganRobert A Bowden
Jan 22, 2004·Emergency Medicine Journal : EMJ·K Allison, K Porter
Jul 13, 2004·Injury·Keith Allison, Keith Porter
Oct 4, 2005·Emergency Medicine Clinics of North America·Luis H HaroJoseph K Lobl
Aug 19, 2006·ANZ Journal of Surgery·Mark C FitzgeraldColin F Mackenzie
Jan 26, 2010·Journal of the Royal Army Medical Corps·P Shirley
May 20, 2004·Journal of the Royal Army Medical Corps·K Allison, K Porter
Dec 13, 2002·The Journal of Trauma·Peter J Shirley, Anne E Weaver
Mar 18, 2000·The Medical Journal of Australia·C L Foot, P Naidoo

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