Department of Emergency Medicine, University of North Carolina at Chapel Hill, 170 Manning Drive, CB# 7594, Chapel Hill, NC 27599-7594, USA.
Division of Vascular and Endovascular Surgery, Mayo Clinic, 200 First Street, Rochester, MN 55905, USA.
Adv Surg. 2023 Sep;57(1):233-256. doi: 10.1016/j.yasu.2023.04.005. Epub 2023 Jun 1.
Prehospital resuscitation is a dynamic field now being energized by new technologies and a shift in thinking regarding intravascular resuscitation. Growing evidence discourages use of intravenous (IV) crystalloid and colloid solutions in trauma, whereas blood products, particularly whole blood, are becoming preferred. Although randomized clinical trials validating definitive resuscitative protocols are still lacking, most preclinical and clinical indicators support this approach. In addition, emerging technologies such as external and endovascular hemorrhage control devices and extracorporeal perfusion are now being used routinely, even in the prehospital setting in many countries, generating new lines of emerging investigations for trauma specialists.
院前复苏是一个充满活力的领域，目前正受到新技术和血管内复苏观念转变的推动。越来越多的证据表明，在创伤中应避免使用静脉内（IV）晶体和胶体溶液，而血液制品，特别是全血，正成为首选。尽管仍缺乏验证明确复苏方案的随机临床试验，但大多数临床前和临床指标都支持这种方法。此外，新兴技术如外部和血管内出血控制装置和体外灌注现在已被常规使用，即使在许多国家的院前环境中也是如此，为创伤专家带来了新的研究方向。
