An Evidence-Based Approach to Nonoperative Management of Traumatic Hemorrhagic Shock in the Emergency Department

Points & Pearls Excerpt

• In prehospital trauma care, there is no imperative for endotracheal intubation over bag-valve mask ventilation.
• Prehospital crystalloid fluid administration should be enough only to maintain mentation and pulses; resuscitation should instead proceed with blood or plasma, which have shown mortality benefits in selected prehospital settings.
• Stratification by the degree of shock index may predict outcomes better than the traditional ATLS^® classes of shock.
• A delta shock index value of > 0.1 is linked to greater mortality, blood transfusion, and intensive care unit (ICU) length of stay.

Most Important References

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