Fluid Resuscitation in Tactical Combat Casualty Care: Yesterday and Today.
Wilderness & environmental medicine · 2017-06-01 · Other / unclear
Abstract
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.
Abstract © the authors or publisher, via PubMed. Reuse and removal
Tags
Blood products · Crystalloids · Fluids & blood · Military & tactical
Related articles
- Remote damage control resuscitation and the Solstrand Conference: defining the need, the language, and a way forward. (Transfusion, 2013)
- Emergency whole-blood use in the field: a simplified protocol for collection and transfusion. (Shock, 2014)
- Remote Damage Control Resuscitation in Austere Environments. (Wilderness Environ Med, 2017)
- Fluid Resuscitation for Hemorrhagic Shock in Tactical Combat Casualty Care: TCCC Guidelines Change 14-01--2 June 2014. (J Spec Oper Med, 2014)
- Global casualty care in operation area (cardiopulmonary resuscitation and damage control surgery) (Disaster and Emergency Medicine Journal, 2022)
- Trends in Prehospital Blood, Crystalloid, and Colloid Administration in Accordance With Changes in Tactical Combat Casualty Care Guidelines. (Mil Med, 2022)