Tuesday, September 01, 2009
Traumatic Hemorrhagic Shock - An Update
1. Kwan, I., Bunn, F. & Roberts, I. (2003). Timing and volume of fluid administration for patients with bleeding. Cochrane Database Syst Rev, (3), CD002245.
This Cochrane review shows that to date, there is a lack of uniformity in terms of study designs and patients population. Data pooling could not be performed. At the current moment, it is inconclusive to give a strong recommendation to permissive hypotension.
2. Turner, J., Nicholl, J., Webber, L., Cox, H., Dixon, S. & Yates, D. (2000). A randomised controlled trial of prehospital intravenous fluid replacement therapy in serious trauma. Health Technol Assess, 4 (31), 1-57.
This is one of the larger study done to look into early versus delayed fluid resuscitation in trauma, as compared to the study by Bickell et al. The methodology is very well described in the full text of the monograph.
3. Spahn, D. R., Cerny, V., Coats, T. J., Duranteau, J., Fernandez-Mondejar, E., Gordini, G., Stahel, P. F., Hunt, B. J., Komadina, R., Neugebauer, E., Ozier, Y., Riddez, L., Schultz, A., Vincent, J. L. & Rossaint, R. (2007). Management of bleeding following major trauma: a European guideline. Crit Care, 11 (1), R17.
This is a comprehensive European guideline on traumatic hemorrhage
PLEASE NOTE: All contents in this blog are copyrighted materials, unless otherwise stated. Even if you encounter materials in this page without a copyright notice, it does not mean that it is not copyrighted (Click here to read TEN BIG myths on copyright explained). This is especially so as most nations are signatories of the Berne Convention on international copyright law (World Intellectual Property Organization). Nevertheless, I have licensed almost all the materials contained here under Creative Commons licenses strictly for educational, non-commercial purposes only. Kindly email me at firstname.lastname@example.org should you want to use any of the materials for commercial purposes. Thank you.