Permissive hypotensive resuscitation in patients with traumatic hemorrhagic shock.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: ETHICS APPROVAL AND CONSENT TO PARTICIPATE: Not applicable. CONSENT FOR PUBLICATION: Not applicable. COMPETING INTERESTS: The authors declare that they have no competing interests. PUBLISHER’S NOTE: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. 7. J Orthop Trauma. 2016 Oct;30 Suppl 3:S2-S6. doi: 10.1097/BOT.0000000000000670. Resuscitation and Treatment of Shock. Beltran MJ(1), Becker TE, Hurley RK, Gurney JM, Hayda RA. Author information: (1)*Department of Orthopaedic Surgery, San Antonio Military Medical Center, San Antonio, TX; †Department of Surgery, Trauma and Critical Care, San Antonio Military Medical Center, San Antonio, TX; ‡United States Army Institute of Surgical Research; and §Department of Orthopaedic Surgery, Brown University, Providence, RI. Hemorrhage continues to be the most common cause of death among service members wounded in combat. Injuries that were previously nonsurvivable in previous wars are now routinely seen by combat surgeons in forward surgical units, the result of improvements in body armor, the universal use of field tourniquets to control extremity hemorrhage at the point of injury, and rapid air evacuation strategies. Combat orthopaedic surgeons remain a vital aspect of the forward surgical unit, tasked with assisting general surgical colleagues in the resuscitation of patients in hemorrhagic shock while also addressing traumatic amputations, open and closed long bone fractures, and mechanically unstable pelvic trauma. Future military and civilian trauma research endeavors will seek to identify how the advances made in the past 15 years will translate toward the emerging battlefield of the future, one where forward surgical units must be lighter, smaller, and more mobile to address the changing scope of military combat operations. DOI: 10.1097/BOT.0000000000000670