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SPECIAL ARTICLE
Year : 2007  |  Volume : 51  |  Issue : 6  |  Page : 479-485

End points in trauma management


M.D., D.A., F.C.C.P., D.C.C.M., (Cardio) M.C.A.M., Secretary, National Board for Trauma Courses, ITACCS (Indian Chapter), India

Correspondence Address:
N Ganapathy
Director, Dhanvantri Critical Care Center, 27, 28, Poonkundranar Street, Karungalpalayam, Erode - 638 003, Tamilnadu
India
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Source of Support: None, Conflict of Interest: None


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Fluid resuscitation following traumatic haemorrhage has historically been instituted as soon after injury as possible. Patients suffering from haemorrhagic shock may receive several liters of crystalloid, in addition to colloid solutions, in order to normalize blood pressure, heart rate, urine output and mental status, which are the traditional endpoints of resuscitation. Current theory and recent investigations have questioned this dogma. Resuscitation goals may be different when the patient is actively haemorrhaging and once bleeding has been controlled. Newer markers of tissue and organ system perfusion may allow a more precise determination of adequate resuscitation


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