Fluid Resuscitation in Tactical Combat Casualty Care: Yesterday and Today
Fluid Resuscitation in Tactical Combat Casualty Care: Yesterday and Today
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DOI：
10.1016/j.wem.2016.12.007
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发表时间：
2017-01-01
影响因子：
1.4
通讯作者：
Butler, Frank K., Jr.
中科院分区：
文献类型：
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作者：
Butler, Frank K., Jr.
1992年，创伤患者失血性休克的院前液体复苏的普遍做法是尽快给予2 L晶体液。对液体复苏文献的回顾发现，这一建议当时没有得到很好的证据支持。在1993-1996年的战术战斗伤员护理（TCCC）研究计划中，对院前液体复苏策略进行了重新评估。本文回顾了TCCC指南所推荐的院前液体复苏的进展，并在随后的20年中进行了修改。这些进展包括快速复苏，在可行时使用院前全血或血液成分，以及在后勤考虑使血液或血液成分使用不可行时使用Hadense或选定的晶体。
The prevailing wisdom for the prehospital fluid resuscitation of trauma victims in hemorrhagic shock in 1992 was to administer 2 L of crystalloid solution as rapidly as possible. A review of the fluid resuscitation literature found that this recommendation was not well supported by the evidence at the time. Prehospital fluid resuscitation strategies were reevaluated in the 1993-1996 Tactical Combat Casualty Care (TCCC) research program. This article reviews the advances in prehospital fluid resuscitation as recommended by the original TCCC Guidelines and modified over the following 2 decades. These advances include hypotensive resuscitation, use of prehospital whole blood or blood components when feasible, and use of Hextend or selected crystalloids when logistical considerations make blood or blood component use not feasible.