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European Journal of Trauma and Emergency Surgery

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01-08-2017 | Review Article

Volume replacement during trauma resuscitation: a brief synopsis of current guidelines and recommendations

Authors: M. Maegele, M. Fröhlich, M. Caspers, S. Kaske

Published in: European Journal of Trauma and Emergency Surgery | Issue 4/2017

Abstract

Introduction

Intravascular volume and fluid replacement are still cornerstones to correct fluid deficits during early trauma resuscitation, but optimum strategies remain under debate.

Methods

A synopsis of best current knowledge with reference to the following guidelines and recommendations is presented: (1) The European Guideline on Management of Major Bleeding and Coagulopathy following Trauma (fourth edition), (2) S3 Guideline on Treatment of Patients with Severe and Multiple Injuries [English Version of the German Guideline S3 Leitlinie Polytrauma/Schwerverletzten-Behandlung/AWMF Register-Nr. 012/019 sponsored by the German Society for Trauma Surgery/Deutsche Gesellschaft für Unfallchirurgie (DGU)], and (3) S3 Guideline Intravascular Volume Treatment in the Adult [AWMF Register-Nr 001/020 sponsored by the German Society for Anesthesiology and Intensive Medicine/Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin (DGAI)].

Results and conclusions

Volume replacement at a reduced level in severely injured and bleeding trauma patients is advocated (permissive hypotension) until the bleeding is controlled. ATLS principles with Hb, BE, and/or lactate can assess perfusion, estimate/monitor the extent of bleeding/shock, and guide therapy. Isotonic crystalloid solutions are first-line and specific recommendations apply for patients with TBI.

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Title: Volume replacement during trauma resuscitation: a brief synopsis of current guidelines and recommendations
Authors: M. Maegele
M. Fröhlich
M. Caspers
S. Kaske
Publication date: 01-08-2017
Publisher: Springer Berlin Heidelberg
Published in: European Journal of Trauma and Emergency Surgery / Issue 4/2017
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-017-0771-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Volume replacement during trauma resuscitation: a brief synopsis of current guidelines and recommendations

Abstract

Introduction

Methods

Results and conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results and conclusions

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