• Emerg. Med. Clin. North Am. · Feb 2018

    Review

    The Evolving Science of Trauma Resuscitation.

    • Tim Harris, Ross Davenport, Matthew Mak, and Karim Brohi.
    • Emergency Medicine, Barts Health NHS Trust, Queen Mary University of London, London, UK.
    • Emerg. Med. Clin. North Am. 2018 Feb 1; 36 (1): 85-106.

    AbstractThis review summarizes the evolution of trauma resuscitation from a one-size-fits-all approach to one tailored to patient physiology. The most dramatic change is in the management of actively bleeding patients, with a balanced blood product-based resuscitation approach (avoiding crystalloids) and surgery focused on hemorrhage control, not definitive care. When hemostasis has been achieved, definitive resuscitation to restore organ perfusion is initiated. This approach is associated with decreased mortality, reduced duration of stay, improved coagulation profile, and reduced crystalloid/vasopressor use. This article focuses on the tools and methods used for trauma resuscitation in the acute phase of trauma care.Copyright © 2017 Elsevier Inc. All rights reserved.

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