Thoughts from the Control Tower

Originally posted on The Collective:
This is the first of what we hope will be a series of posts from Dr Paul Bailey who works as a Medical Director for CareFlight International Air Ambulance. Paul will try to provide insights into the challenges of managing retrievals across oceans. Here’s the starter.  In his real life,…

Fluid resuscitation in bleeding trauma patient: are you aware of wich is the right fluid and the right strategy?

Originally posted on MEDEST:
The fluids of choice in prehospital field are, in most cases, cristalloids (Norma Saline or Lactate Ringer). But what is the physiological impact of saline solutions when administered in large amounts (as the latest ATLS guidelines indicates) to hypotensive trauma patients? Is aggressive Fluid resuscitation the right strategy to be pursued?…