J Trauma
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Randomized Controlled Trial Clinical Trial
Fluid resuscitation of patients with multiple injuries and severe closed head injury: experience with an aggressive fluid resuscitation strategy.
Despite increasing experimental and clinical evidence to the contrary, a dichotomy of management strategies of the patient with multiple injuries still exists, based on the presence or absence of traumatic brain injury. Many still advocate fluid restriction or small volume resuscitation if traumatic brain injury is present. ⋯ Fluid restriction is not necessary to achieve good results in the severely injured patient who also has a severe head injury.