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No gains with plasma-first resuscitation in urban settings?
The Lancet ( IF 168.9 ) Pub Date : 2018-07-19 , DOI: 10.1016/s0140-6736(18)31565-4
David N Naumann , Heidi Doughty , Bryan A Cotton

In 1943, during World War 2, Major General Norman Kirk, the Surgeon General of the US Army, was asked by the American Medical Association what was responsible for the higher-than-expected survival among soldiers wounded in combat. He quickly replied, “The foremost lifesaver is plasma…without that, many men would have died.” From a physiological perspective it makes sense to give blood products as early as possible to patients with traumatic haemorrhagic shock, and these are thought to be superior to crystalloid fluids during remote damage control resuscitation1 and for civilian major trauma.

中文翻译:

在城市环境中进行血浆优先复苏没有益处?

1943年,在第二次世界大战期间,美国医学会要求美军外科医生诺曼·柯克少将对造成战斗中受伤的士兵更高的存活率负责。他迅速回答:“最重要的救命稻草是血浆……否则,许多人将会丧生。” 从生理学的角度来看,尽早为创伤性出血性休克患者提供血液制品是有意义的,并且在远程损伤控制复苏1和民用重大创伤中,这些血液制品要优于晶体液。
更新日期:2018-07-26
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