title: Guidelines for prehospital fluid resuscitation in the injured patient.
abstract: Although the need and benefit of prehospital interventions has been controversial for quite some time, an increasing amount of evidence has stirred both sides into more frequent debate. Proponents of the traditional "scoop-and-run" technique argue that this approach allows a more timely transfer to definitive care facilities and limits unnecessary (and potentially harmful) procedures. However, advocates of the "stay-and-play" method point to improvement in survival to reach the hospital and better neurologic outcomes after brain injury. Given the lack of consensus, the Eastern Association for the Surgery of Trauma convened a Practice Management Guideline committee to answer the following questions regarding prehospital resuscitation: (1) should injured patients have vascular access attempted in the prehospital setting? (2) if so, what location is preferred for access? (3) if access is achieved, should intravenous fluids be administered? (4) if fluids are to be administered, which solution is preferred? and (5) if fluids are to be administered, what volume and rate should be infused?
authors: Department of Surgery, University of Texas Health Science Center, Houston, Texas 77030, USA. bryan.a.cotton@uth.tmc.edu
authors: Bryan A
authors: BA
authors: Cotton
authors: Rebecca
authors: R
authors: Jerome
authors: Bryan R
authors: BR
authors: Collier
authors: Suneel
authors: S
authors: Khetarpal
authors: Michelle
authors: M
authors: Holevar
authors: Brian
authors: B
authors: Tucker
authors: Stan
authors: S
authors: Kurek
authors: Nathan T
authors: NT
authors: Mowery
authors: Kamalesh
authors: K
authors: Shah
authors: William
authors: W
authors: Bromberg
authors: Oliver L
authors: OL
authors: Gunter
authors: William P
authors: WP
authors: Riordan
mesh_terms: D004632:Emergency Medical Services / Q000379:methods*; D005440:Fluid Therapy / Q000379:methods*; D006801:Humans; D014947:Wounds and Injuries / Q000628:therapy*