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Intravenous fluid therapy for hemorrhagic shock has undergone enormous changes since it was first conducted almost 200 years ago. In the past 40 years especially, practices have dramatically changed with regards to fluid resuscitation. In pre-hospital, combat, austere, and rural emergency medicine the stakes are especially high to deliver an effective and logical resuscitation fluid strategy to a...
One issue that has generated controversy in the area of trauma care is the administration of isotonic intravenous crystalloid volume for patients suffering from traumatic hemorrhagic shock. This practice, once accepted as the standard for good medical care, has become regarded over the past decade as substandard. This article looks at the scientific basis for fluid resuscitation and evidence for declining...