Strategies for Intravenous Fluid Resuscitation in Trauma Patients

Robert Wise, Michael Faurie, Manu L N G Malbrain, Eric Hodgson, Robert Wise, Michael Faurie, Manu L N G Malbrain, Eric Hodgson

Abstract

Intravenous fluid management of trauma patients is fraught with complex decisions that are often complicated by coagulopathy and blood loss. This review discusses the fluid management in trauma patients from the perspective of the developing world. In addition, the article describes an approach to specific circumstances in trauma fluid decision-making and provides recommendations for the resource-limited environment.

Conflict of interest statement

Robert Wise and Michael Faurie declare that they have no competing interests. Manu LNG Malbrain is member of the executive committee of the International Fluid Academy (IFA). Eric Hodgson is a paid speaker and advisory board member for Fresenius-Kabi.

Figures

Fig. 1
Fig. 1
Flow diagram of initial fluid resuscitation of trauma patients
Fig. 2
Fig. 2
Thromboelastometry—differences in measurement between ROTEM and thromboelastography [42]

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