Journal of the Royal College of Surgeons of Edinburgh
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J R Coll Surg Edinb · Apr 2002
ReviewFluid resuscitation in pre-hospital trauma care: a consensus view.
Fluid administration for trauma in the pre-hospital environment is a challenging and controversial area. The available evidence does not clearly support any single approach. Nevertheless, some provisional conclusions may be drawn. ⋯ Transfer should not be delayed by attempts to obtain intravenous access. Entrapped patients require cannulation at the scene. Normal saline may be titrated in boluses of 250 ml against the presence or absence of a radial pulse (caveats; penetrating torso injury, head injury, infants).