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?…

Scary Little Creatures

Originally posted on The Collective:
Dr Andrew Weatherall does prehospital doctor stuff but spends lots of time serving the somnolent god of anaesthesia  in a tertiary paediatric hospital. He has particular interests in cardiac, thoracic, trauma and liver transplant anaesthesia and is trying to be a PhD student in his spare time.  You can also find…