鎮痛と蘇生 : 現在の研究

Effects of Fluid Resuscitation when BleedArrest is used for Hemorrhage Control

Don Johnson, Brian Gegel, James Burgert, Anna Brennan, Mark Francis, Hasmin Nales, Hernandez Perez, Sabine Johnson and Michael Loughren

Effects of Fluid Resuscitation when BleedArrest is used for Hemorrhage Control

Trauma is the leading cause of morbidity and mortality in both the civilian and military populations with uncontrolled hemorrhage as the major cause of death. Studies indicate hypotension secondary to hemorrhage usually follows with deleterious consequences. Specifically, trauma patients with isolated systolic hypotension (< 90 mm Hg) have up to 54 % mortality. In Vietnam, an estimated 40% of soldiers who died of exsanguination had a source of hemorrhage that may have been controlled by hemostatic measures. In the recent conflicts of Iraq and Afghanistan, uncontrolled hemorrhage accounted for almost 50% of the battlefield deaths prior to evacuation.