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Which fluid to give?

Bristol Royal Infirmary, Marlborough Street, Bristol, UK

Jerry Nolan

Royal United Hospital, Combe Park, Bath, UK

Crystalloids are generally accepted, as the initial fluid of choice during trauma patient resuscitation but the pragmatic approach is to give a combination of both crystalloid and colloid. Plasmalyte 148 has advantages over both saline and lactated Ringer’s. Medium-or low-molecular weight hydroxyethyl starch may be the colloid of choice. In the future, haemoglobin-based oxygen carriers are likely to play a prominent role in trauma resuscitation.

Key Words: fluids • resuscitation • trauma • crystalloids • colloids • haemoglobin-based oxygen carriers

Trauma, Vol. 3, No. 3, 151-160 (2001)
DOI: 10.1177/146040860100300303


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