Prehospital Administration of Blood Products in the Resuscitation of Traumatic Injury by an Air Medical Program

Ciraulo, David L.; Cowell, Vernon; Murphy, Douglas P.; Jacobs, Lenworth M.; Sumida, Michael P.; Lewis, Patricia L.; Barker, Donald E.

doi:10.1097/00003246-199801001-00100

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“…Most recently, studies from Montreal (Quebec), San Diego (Calif), Houston (Tex), and Hartford (Conn) have raised the question as to whether intravenous fluid resuscitation justifies the time required to accomplish the task. 11,12,17,18 An interesting parallel is seen in a report from South Africa 19 and the previously described study from LAC + USC. 1 Lerer and Knottenbelt 19 demonstrated in a study from South Africa that the survival rate following penetrating chest injuries was better in patients from poorer socioeconomic areas.…”

Section: Commentsupporting

confidence: 69%

“…The published doubts regarding the time invested pursuing intravenous fluid resuscitation have already been cited. 11,12,17,18 Accordingly, we believe that in an urban trauma setting, the prehospital care of persons with penetrating trauma who are spontaneously breathing and moving their legs should place the highest priority on rapid transport (as opposed to intravenous resuscitation, intubation, or spinal immobilization).…”

Section: Commentmentioning

confidence: 99%

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