Examining current trends and research in pre-hospital hypotensive resuscitation

Che Bruce
April 2013

The main purpose of trauma care is to reverse shock or reduce its deleterious effects, and in so doing, saving life. The use of aggressive fluid resuscitation may be harmful, as the resulting increased blood pressure and circulating volume could lead to clot disruption, dilution of clotting factors as well as an alteration in the body’s natural response to haemorrhage. The concept of hypotensive resuscitation and how it has evolved is discussed in this article.This article looks at the current trends in hypotensive resuscitation, examining research into the use of such strategies and whether evidence exists to support the implementaion of these strategies into UK paramedic practice.A number of sources were used to assess and access the literature. Primary and secondary sources were located that incorporated seminal and classical studies, permitting a broad overview of the subject.The paramedic has a duty and a responsibiility to provide care that is safe and effective, and this includes the use of fluids to aid resuscitation.

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