Fluid resuscitation following injury

Cj, Carrico; Pc, Canizaro; Gt, Shires

doi:10.1097/00003246-197603000-00002

Cited by 102 publications

(12 citation statements)

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“…While the fluids were being infused, the patient's blood was typed and cross-matched so that whole blood could later be administered [16–18]. The use of crystalloids for initial resuscitation was conveyed as beneficial because it raised the blood pressure to a normal level and reduced the amount of whole blood needed by patients [16, 17]. Despite calls for moderation [19], when attempting to reverse hemorrhagic shock, it became routine for surgeons and emergency medical personnel to practice expedient hemorrhage control and use high-volume fluid resuscitation strategies to replace lost blood [20].…”

Section: History Of Fluid Administration and Resuscitation Strategiesmentioning

confidence: 99%

Hypotensive Resuscitation among Trauma Patients

Carrick

Leonard

Slone

et al. 2016

BioMed Research International

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Hemorrhagic shock is a principal cause of death among trauma patients within the first 24 hours after injury. Optimal fluid resuscitation strategies have been examined for nearly a century, more recently with several randomized controlled trials. Hypotensive resuscitation, also called permissive hypotension, is a resuscitation strategy that uses limited fluids and blood products during the early stages of treatment for hemorrhagic shock. A lower-than-normal blood pressure is maintained until operative control of the bleeding can occur. The randomized controlled trials examining restricted fluid resuscitation have demonstrated that aggressive fluid resuscitation in the prehospital and hospital setting leads to more complications than hypotensive resuscitation, with disparate findings on the survival benefit. Since the populations studied in each randomized controlled trial are slightly different, as is the timing of intervention and targeted vitals, there is still a need for a large, multicenter trial that can examine the benefit of hypotensive resuscitation in both blunt and penetrating trauma patients.

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Section: History Of Fluid Administration and Resuscitation Strategiesmentioning

confidence: 99%

Hypotensive Resuscitation among Trauma Patients

Carrick

Leonard

Slone

et al. 2016

BioMed Research International

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“…This research further recommended that the transfusion of WB would only be indicated if hemodynamic instability persisted following administration of crystalloids. 12 To the detriment of patients with severe bleeding, misinterpretation of these data contributed to overuse of crystalloids before any blood product was administered. When used in practice, this approach could result in dilutional coagulopathy and severe interstitial edema.…”

Section: Rationalementioning

confidence: 99%

Pediatric traumatic hemorrhagic shock consensus conference recommendations

Russell

Esparaz

Beckwith

et al. 2022

J Trauma Acute Care Surg

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Hemorrhagic shock in pediatric trauma patients remains a challenging yet preventable cause of death. There is little high-quality evidence available to guide specific aspects of hemorrhage control and specific resuscitation practices in this population. We sought to generate clinical recommendations, expert consensus, and good practice statements to aid providers in care for these difficult patients. The Pediatric Traumatic Hemorrhagic Shock Consensus Conference process included systematic reviews related to six subtopics and one consensus meeting. A panel of 16 consensus multidisciplinary committee members evaluated the literature related to 6 specific topics: (1) blood products and fluid resuscitation for hemostatic resuscitation, (2) utilization of prehospital blood products, (3) use of hemostatic adjuncts, (4) tourniquet use, (5) prehospital airway and blood pressure management, and (6) conventional coagulation tests or thromboelastography-guided resuscitation. A total of 21 recommendations are detailed in this article: 2 clinical recommendations, 14 expert consensus statements, and 5 good practice statements. The statement, the panel's voting outcome, and the rationale for each statement intend to give pediatric trauma providers the latest evidence and guidance to care for pediatric trauma patients experiencing hemorrhagic shock.With a broad multidisciplinary representation, the Pediatric Traumatic Hemorrhagic Shock Consensus Conference systematically evaluated the literature and developed clinical recommendations, expert consensus, and good practice statements concerning topics in traumatically injured pediatric patients with hemorrhagic shock.

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“…Whole blood transfusion remained the optimal resuscitation product until the Viet Nam era, when crystalloids became the primary resuscitative fluid for service members injured on the battlefield (4). This shift was due to the ongoing risk of transfusion-transmitted infection and an overemphasis of research suggesting that the interstitial space needed resuscitation for trauma with 1-2 L (or 2-3 times the volume of blood shed) of crystalloids, only after which blood products should be given (5). This led to resuscitation with large volumes of crystalloids, with associated sequelae such as acute respiratory distress syndrome (coined "Da Nang Lung"), compartment syndrome, and multi-organ dysfunction (6).…”

Section: The Historical Case For Hemostatic Resuscitationmentioning

confidence: 99%

Lessons Learned From the Battlefield and Applicability to Veterinary Medicine – Part 2: Transfusion Advances

Edwards

Mays²,

Bynum

et al. 2021

Front. Vet. Sci.

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Since the inception of recent conflicts in Afghanistan and Iraq, transfusion practices in human military medicine have advanced considerably. Today, US military physicians recognize the need to replace the functionality of lost blood in traumatic hemorrhagic shock and whole blood is now the trauma resuscitation product of choice on the battlefield. Building on wartime experiences, military medicine is now one of the country's strongest advocates for the principle of hemostatic resuscitation using whole blood or balanced blood components as the primary means of resuscitation as early as possibly following severe trauma. Based on strong evidence to support this practice in human combat casualties and in civilian trauma care, military veterinarians strive to practice similar hemostatic resuscitation for injured Military Working Dogs. To this end, canine whole blood has become increasingly available in forward environments, and non-traditional storage options for canine blood and blood components are being explored for use in canine trauma. Blood products with improved shelf-life and ease of use are not only useful for military applications, but may also enable civilian general and specialty practices to more easily incorporate hemostatic resuscitation approaches to canine trauma care.

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Fluid resuscitation following injury

Cited by 102 publications

References 0 publications

Hypotensive Resuscitation among Trauma Patients

Hypotensive Resuscitation among Trauma Patients

Pediatric traumatic hemorrhagic shock consensus conference recommendations

Lessons Learned From the Battlefield and Applicability to Veterinary Medicine – Part 2: Transfusion Advances

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