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Editorial
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Volume 331:1153-1154 October 27, 1994 Number 17
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Timing of Fluid Resuscitation in Trauma

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The resuscitation of hypotensive patients with hypovolemia who have sustained penetrating injuries traditionally follows the management principles outlined in the American College of Surgeons Advanced Trauma Life Support course.1 These principles consist of the establishment of a patent airway, ventilation with oxygen, and fluid resuscitation with crystalloid and colloid solutions. The goal is to establish adequate perfusion of cerebral and myocardial tissue with well-oxygenated blood.

Conventional treatment at the scene of the event includes airway and oxygen management followed by rapid transportation to a trauma center.2 No time should be wasted gaining intravenous access, but fluid resuscitation can be established . . . [Full Text of this Article]

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