Review Note
Last Update: 06/07/2024 02:30 PM
Current Deck: SLS Cards::9. Trauma
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Commit #106688
What are some principles of fluid resuscitation in a trauma patient?
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Commit #106688
Minimize IV fluid. Give IV F only for resus of hypotensive (e.g. MAP < 65) and then only until blood is available; and only if fluid responsive (i.e. SV increaseds by at least 10% after 500 mL of crystalloid).
Initiation of massive transfusion protocol based on assessment of blood consumption score. >=2 predicts need for massive transfusion (sn 75%, sp 86%).
Initiation of massive transfusion protocol based on assessment of blood consumption score. >=2 predicts need for massive transfusion (sn 75%, sp 86%).
- penetrating mechanism of injury
- Positive FAST
- SBP 90 mmHg or less
- HR > 120
Blood products should be used in equivalent ratios or whole blood if available.