Foreword-Combat Prehospital Resuscitation

摘要

Considering the spectrum of combat casualty care, from point of wounding to rehabilitation, prehospital treatment technology has not kept pace with advances in other areas. When responding to the most common cause of potentially survivable but often fatal injury (penetrating truncal trauma), the medic on today's battlefield has treatment options that are defined by currently available technology.Penetrating truncal injury is often associated with noncompressible torso hemorrhage, the initial management of which is limited to the replacement of intravascular volume in an attempt to avoid ischemia and exsanguination before surgical hemostasis. The importance of injury-induced hypovolemia and the current technological limitations of prehospital resuscitation necessitate the reappraisal of resuscitative fluid strategies that was conducted during this conference.