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Fluid Management of the Exsanguinating Trauma Patient -Tom Bourne
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AlfredEM Grand Rounds Dr Tom Bourne Registrar, Alfred Emergency & Trauma Centre
Credits: Richard Dutton - Damage Control Anaesthesia, ITACCS 2005 Figure: Final administered concentrations of red cells, clotting factors, and platelets achieved when a unit of whole blood is donated and fractionated, then given as separate components during damage control anesthesia. Hct, hematocrit; Plts, platelets; PRBC, packed red blood cells.
http://emcrit.org/wp-content/uploads/damage_controanesthesial.pdf
Tom Bourne gives us an excellent summary of the principles of fluid management in the exsanguinating trauma patient.
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Additional Resources
Haemostatic resuscitation – Richard Dutton
QMUL MSc Trauma Sciences - Permissive Hypotension
Australian National Blood Authority – Module 1: Critical bleeding and massive transfusion
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