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European Journal of Trauma and Emergency Surgery

Published in:

01-12-2014 | Review Article

Modern resuscitation of hemorrhagic shock: what is on the horizon?

Authors: D. T. Martin, M. A. Schreiber

Published in: European Journal of Trauma and Emergency Surgery | Issue 6/2014

Abstract

Purpose

Mortality rates among the severely injured remain high. The successful treatment of hemorrhagic shock relies on expeditious control of bleeding through surgical ligation, packing, or endovascular techniques. An important secondary concern in hemorrhaging patients is how to respond to the lost blood volume. A single method that is able to adequately address all needs of the exsanguinating patient has not yet been agreed upon, despite a large growth of knowledge regarding the causative factors of traumatic shock.

Methods

A review of relevent literature was performed.

Conclusions

Many different trials are currently underway to discriminate ways to improve outcomes in the severely injured and bleeding patient. This paper will review: (1) recent advances in our understanding of the effects hemorrhagic shock has on the coagulation cascade and vascular endothelium, (2) recent research findings that have changed resuscitation, and (3) resuscitation strategies that are not widely used but under active investigation.

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Title: Modern resuscitation of hemorrhagic shock: what is on the horizon?
Authors: D. T. Martin
M. A. Schreiber
Publication date: 01-12-2014
Publisher: Springer Berlin Heidelberg
Published in: European Journal of Trauma and Emergency Surgery / Issue 6/2014
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-014-0416-5

At a glance: The STEP trials

Springer Medicine

Modern resuscitation of hemorrhagic shock: what is on the horizon?

Abstract

Purpose

Methods

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Conclusions

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