PMID: 45673Oct 1, 1978

Resuscitation algorithm for management of acute emergencies

JACEP
W C ShoemakerD State

Abstract

Assuming that unrecognized or inadequately corrected hypovolemia results in higher mortality and morbidity rates, we developed a systematic approach to resuscitation that would: 1) identify criteria to aid in the recognition of hypovolemia and ensure the expeditious correction of this defect without interfering with diagnostic workup and management; 2) define criteria to prevent fluid overload which may jeopardize the patient's course, and 3) express these criteria in an explicit, systematic, patient care algorithm, ie, protocol, useful to both the resident and the practicing physician. We are now conducting prospective clinical trials with one service using the algorithm and the others acting as the control group. Preliminary results comparing patient outcomes suggest that the algorithm improves patient care by shortening resuscitation time and results in fewer hospital days, intensive care unit days, febrile days, and days on mechanical ventilation as well as reduced mortality. The algorithm provides a systematic plan to organize patient care so that the most urgently needed procedures are not delayed or overlooked.

References

Jan 1, 1982·American Journal of Public Health·A L Komaroff
Feb 13, 2015·Critical Care : the Official Journal of the Critical Care Forum·N J GlassfordR Bellomo
Dec 1, 1980·American Journal of Surgery·M F BrownM E DeBakey
Jul 1, 1981·American Journal of Surgery·W C ShoemakerP C Chang
Aug 1, 1987·Annals of Emergency Medicine·J WasserbergerS Balasubramaniam
Nov 26, 2015·Anaesthesia and Intensive Care·N J GlassfordR Bellomo

Citations

Jan 1, 1977·The Australasian Nurses Journal·J Overton
May 1, 1976·Critical Care Medicine·W C Shoemaker
Nov 1, 1976·JACEP·L E Slay, W G Riskin
Sep 1, 1976·Heart & Lung : the Journal of Critical Care·D A Enarson, D R Gracey
Mar 1, 1975·Critical Care Medicine·W C Shoemaker
Mar 1, 1976·Critical Care Medicine·J J Skillman
Oct 1, 1974·Annals of Internal Medicine·S GreenfieldA L Komaroff
May 1, 1969·Anesthesia and Analgesia·E T Thomas
Dec 26, 1963·The New England Journal of Medicine·L R DELGUERCIOD STATE

Related Concepts

Morbidity Aspects
Fluid Overload
Hypovolemia
Thyroid Hormone Plasma Membrane Transport Defect
Ventilation, Function (Observable Entity)
Respiration
Clinical Trial [Publication Type]
Emergencies [Disease/Finding]
Resuscitation Procedure

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