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Mon Sep 29 02:58:23 BST 2003

nope you didn't miss anything.  Maybe they did.

remember tachycardia is another sign of hypovolemia.  don't focus on just 
the blood pressure.  If all of the other parameters were relatively okay 
then your right the patient was getting too much fluid.

E

Errington C. Thompson, MD, FACS
Trauma Surgeon
Trinity Mother Frances
Tyler, Tx.
ecthompson at msn.com

Don't think you are
Know you are

                           - Morpheus (The Matrix)

----- Original Message ----- 
From: <PTmed at aol.com>
To: <trauma-list at trauma.org>
Sent: Monday, September 29, 2003 1:38 AM
Subject: why are we loading fluids in normotensive trauma pts?

> Sorry about this rant.  Did I miss a meeting or something?  I just started
> working at an emergency department in the Texas Medical Center (pediatric)
> Tonight we had an 18 y/o who walked in with gun shot wounds to the chest 
> and arm.
> He was relatively stable considering his wounds.  I have done many trauma
> patients before and have always been taught that as long as systolic is at 
> least
> 100, don't overload the patient with fluids, thus increasing bleeding. 
> This
> guy had a great sustained BP, but the doctors and nurses were squeezing 
> bags of
> fluid into him so hard that I thought the bags would burst.  I kindly 
> asked
> why we were doing this but was quickly told to watch and learn as I was 
> the
> "new guy" and didn't know what I was talking about.  Has something changed 
> that I
> am unaware of?   Just wondering..... Paul,  Houston Tx
>
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why are we loading fluids in normotensive trauma pts?