Prehospital intmenous fluid therapy in the pediatric trauma patent

https://doi.org/10.1016/S1522-8401(01)90022-9Get rights and content

Abstract

The existing standard of care for pediatric hemorrhagic shock secondary to trauma mandates immediate aggressive fluid resuscitation. This standard of care has been scrutinized because of concerns that it could potentially harm patient outcome by worsening uncontrolled hemorrhage—hemorrhage from a site not immediately accessible to compression outside of the operating room. These concerns are supported by several arguments, ranging from an intuitive physiologic argumen to prospective, randomized clinical data from hypotensive adult trauma patients. Children, however, remain a physiologically unique and understudied subset of trauma patients. A new standard of care has yet to emerge.

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