Champion Howard R
Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
J Trauma. 2003 May;54(5 Suppl):S7-12. doi: 10.1097/01.TA.0000056154.34788.C6.
Fluid resuscitation of injured combatants in a tactical setting has special challenges which standard civilian protocols do not address. Over a period of a year, four conferences on combat fluid resuscitation were held. The purpose of these conferences was to develop a consensus regarding contemporary practice and to identify and energize a research agenda. The conferees made specific recommendations for institution of, and endpoints for, resuscitation in the combat setting. They recommended that combat fluid resuscitation in these settings should be initiated with low volume colloid (for U.S. Forces) and hypertonic saline dextran (for those not constrained by U.S. Food and Drug Administration regulations). A specific research agenda was defined. Since that time, these recommendations have been implemented in many North Atlantic Treaty Organization (NATO) forces and a variety of other activities have served to provide expert support and research focus for the special needs of injured combatants.
在战术环境中对受伤战斗人员进行液体复苏面临着一些标准平民治疗方案未涉及的特殊挑战。在一年的时间里，召开了四次关于战斗液体复苏的会议。这些会议的目的是就当代实践达成共识，并确定和推动一项研究议程。与会者针对战斗环境中的复苏措施及复苏终点提出了具体建议。他们建议，在这些情况下，战斗液体复苏应首先使用小剂量胶体（针对美军）和高渗盐水右旋糖酐（针对不受美国食品药品监督管理局法规限制的人员）。确定了一项具体的研究议程。自那时以来，这些建议已在许多北约部队中得到实施，并且开展了各种其他活动，为受伤战斗人员的特殊需求提供专家支持和研究重点。
