Langenbeck's archives of surgery
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Langenbecks Arch Surg · Apr 2015
Multicenter StudyPrehospital fluid management of abdominal organ trauma patients--a matched pair analysis.
Severe bleeding after trauma frequently leads to a poor outcome. Prehospital fluid replacement therapy is considered an important primary treatment option. We conducted a retrospective matched pair analysis to assess the influence of prehospital fluid replacement volume on the clinical course of patients with solid abdominal organ trauma. ⋯ Excessive prehospital fluid replacement is able to lead in an increased mortality rate in patients with solid abdominal organ injury. Our results support the concept of restrained fluid replacement in the preclinical treatment of severe trauma patients.