Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-16T15:06:42.340Z Has data issue: false hasContentIssue false
  • English
  • Français

Ineffective Therapy and Delayed Transport

Published online by Cambridge University Press:  28 June 2012

Frank R. Lewis
Frank R. Lewis
Affiliation:
San Francisco General Hospital, Department of Surgery
Get access Rights & Permissions [Opens in a new window]

Extract

The administration of IV fluids to traumatized patients in the field at first seems like a motherhood issue: It can't do any harm and might do some good, so why not use it? This rationale has resulted in its inclusion in prehospital trauma care since the advent of paramedic systems in this country approximately 15 years ago; yet it remains unproven. There are no convincing data in the literature to support the efficacy for the administration of IV fluids in the prehospital setting.

Type
Controversy
Information
Prehospital and Disaster Medicine , Volume 4 , Issue 2 , December 1989 , pp. 129 - 130
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1989

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Gervin, AS and Fischer, RP: The importance of prompt transport in the salvage of patients with penetrating heart wounds. J Trauma 1982 22:443–448.CrossRefGoogle ScholarPubMed
2. McSwain, GB, Garrison, WB, and Artz, CP: Evaluation of resuscitation from cardiopulmonary arrest by paramedics. Ann Emerg Med 1980 9:341–345.CrossRefGoogle ScholarPubMed
3. Smith, JP, Bodai, BI, Hill, AS, et al: Prehospital stabilization of critically injured patients: A failed concept. J Trauma 1985 25:65–70.CrossRefGoogle ScholarPubMed
4. Reines, HD, Bartlett, RL, Chudy, NE, et al: Is advanced life support appropriate for victims of motor vehicles accidents? J Trauma 1988 28:563–569.CrossRefGoogle Scholar
5. Cwinn, AA, Pons, PT, Moore, EE, et al: Prehospital advance trauma life support for critical blunt trauma victims. Ann Emerg Med 1987 16:399–403.CrossRefGoogle ScholarPubMed
6. Pons, PT, Honigman, B, Moore, EE, et al: Prehospital advanced trauma life support for critical penetrating wounds to the thorax and abdomen. J Trauma 1985 25:828–832.CrossRefGoogle Scholar
7. Swan, HJC, Ganz, W, Forrester, J, et al: Catheterization of the heart in man with use of a flow-directed balloon-tipped catheter. N Engl J Med 1970 283:447–451.CrossRefGoogle ScholarPubMed
8. Lewis, FR. Prehospital intravenous fluid therapy: physiologic computer modeling. J Trauma 1986 26:804–811.CrossRefGoogle Scholar
9. Anderson, IWR, Black, RJ, Ledingham, IMcA, et al: Early emergency care study: the potential and benefits of advanced prehospital care. Br Med J 1987 294:228–231.CrossRefGoogle Scholar
10. Gold, CR: Prehospital advanced life support vs. “scoop and run” in trauma management. Ann Emerg Med 16:797–801.CrossRefGoogle Scholar