permissive hypotension Archives

Evidence-Based Medicine

Let the trauma patient be hypotensive: The evidence behind permissive hypotension

CCT 4 AM. Trauma Note – GSW to abdomen. On arrival, wound to RUQ, another to L flank. HR 130s, BP 70s/40s. The CCT junior throws in two 14 gauge peripheral IVs, and attaches the trauma lines. Two liters NS go in in minutes. BP comes up to 100s/60s. FAST Read more…

By andygrock, 11 yearsFebruary 10, 2014 ago

Trauma

Is Permissive Hypotension in Trauma the New Standard?

The use of IV fluids in Trauma has a long history and the deleterious effect of aggressive fluid resuscitation is almost as long. In 1918, WB Cannon published The Preventive Treatment of Wound Shock in JAMA, in which he says that too much fluid is harmful. The history continues from Read more…

By mritchie, 13 yearsMarch 19, 2012 ago