Brito Alexandra M P, Schreiber Martin
Surgical Critical Care, Oregon Health & Science University, Portland, Oregon, USA.
Surgery, Oregon Health and Science University, Portland, Oregon, USA.
Trauma Surg Acute Care Open. 2021 May 10;6(1):e000729. doi: 10.1136/tsaco-2021-000729. eCollection 2021.
Traumatic injury is the leading cause of death in young people in the USA. Our knowledge of prehospital resuscitation is constantly evolving and is often informed by research based on military experience. A move toward balanced blood product resuscitation and away from excessive crystalloid use has led to improvements in outcomes for trauma patients. This has been facilitated by new technologies allowing more front-line use of blood products as well as use of tranexamic acid in the prehospital setting. In this article, we review current practices in prehospital resuscitation and the studies that have informed these practices.
创伤性损伤是美国年轻人死亡的主要原因。我们对院前复苏的认识在不断发展,且常常受到基于军事经验的研究的影响。向平衡的血液制品复苏转变并减少过量晶体液的使用,已使创伤患者的治疗效果得到改善。新技术使得血液制品能更多地在一线使用,以及在院前环境中使用氨甲环酸,推动了这一转变。在本文中,我们回顾了院前复苏的当前实践以及为这些实践提供依据的研究。