Fluid And Blood Resuscitation

Steven C. Dronen Eileen M. K. Bobek

Pathophysiology

Cardiovascular Endocrine, and-Humoral

C.lini.ca|,Features Management gxygenation,,,andVentilation IntravenousAccess Standard,, Monitoring Prehospital Treatment

Fluid Resuscitation

Blood,,, Transfusion Colloid,, Resuscitation

Oxygen-Carrying,, Resuscitation, ā€˛Fluids

Hypertonic Resuscitation Fluids

Complications Chapter, References

Fluid resuscitation is the mainstay of therapy of hemorrhagic shock in the emergency department (ED) setting, with the goal of restoring or maintaining tissue oxygenation despite ongoing blood loss. Considerable research has been devoted to identifying the optimal resuscitation fluid, as well as its rate of delivery. Despite significant advances, questions regarding the ideal resuscitation agent and the timing and endpoints of resuscitation remain unanswered. Recently, the standard practice of rapidly infusing crystalloid during resuscitation of hypotensive trauma victims has been called into question. Ultimately, the ability to answer these questions and optimize the care of the shock victim will require a better understanding of the physiologic and biochemical events that characterize acute hemorrhage.

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