JPMA. The Journal of the Pakistan Medical Association
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Trauma fluid resuscitation continues to be a hotly debated issue. There is overwhelming experimental evidence to suggest that administration of resuscitation fluids is not entirely innocuous. Aggressive intravenous crystalloid administration in the presence of uncontrolled hemorrhage promotes continued bleeding and increases mortality. ⋯ However most prudent trauma surgeons propose, that a policy of judicious fluid administration to maintain the MAP in the 60-80 mmHg range is advisable and appropriate. Fluid resuscitation in trauma should be considered a double edged sword (too much too early or too little too late!). It should not be considered definitive therapy; as in a number of trauma patients it is only a temporizing measure, until surgical control of bleeding can be achieved.
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Biography Historical Article
In memory of Dr. Sarwar Jahan Zuberi editor of Pakistan Medical Association (Centre) 1974 - 2004.