The New England journal of medicine
The most recent articles from:
N. Engl. J. Med.
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Comparative Study Clinical Trial Controlled Clinical Trial
Immediate versus delayed fluid resuscitation for hypotensive patients with penetrating torso injuries.
Fluid resuscitation may be detrimental when given before bleeding is controlled in patients with trauma. The purpose of this study was to determine the effects of delaying fluid resuscitation until the time of operative intervention in hypotensive patients with penetrating injuries to the torso. ⋯ For hypotensive patients with penetrating torso injuries, delay of aggressive fluid resuscitation until operative intervention improves the outcome.