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International Journal of Emergency Medicine
Published in: International Journal of Emergency Medicine 1/2019

Open Access 01-12-2019 | Central Nervous System Trauma | Review

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

Authors: G. H. Ramesh, J. C. Uma, Sheerin Farhath

Published in: International Journal of Emergency Medicine | Issue 1/2019

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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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Metadata
Title
Fluid resuscitation in trauma: what are the best strategies and fluids?
Authors
G. H. Ramesh
J. C. Uma
Sheerin Farhath
Publication date
01-12-2019
Publisher
Springer Berlin Heidelberg
Published in
International Journal of Emergency Medicine / Issue 1/2019
Print ISSN: 1865-1372
Electronic ISSN: 1865-1380
DOI
https://doi.org/10.1186/s12245-019-0253-8

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