Use of Vasopressors in Trauma

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Oha i agree. I always am constantly amazed at the ability of the body to heal itself. There is no doubt that massive fluid or vasopressors are contraindicated, what i am wondering is how this guy survived. It is always interesting to hear stories such as this.
> 
> From: DocRickFry at aol.com
> Date: 2004/08/25 Wed PM 12:43:38 EDT
> To: trauma-list at trauma.org (Trauma & Critical Care mailing list)
> Subject: Re: Use of Vasopressors in Trauma
> 
> Mike--
> You make the classic mistake of guilt by association--you are somehow relating the improper use of vasopressors--and fluid overload--in this patient to his good outcome, assuming that the outcome somehow had something to do with this (mis)treatment--it did not--the patient survived DESPITE the interventions by those trying to help (emphasize the word TRYING), so common in meidcine--and a tribute to how hearty the human body is.  If you go back to a basic understanding of how pressors work, you will realize they reduce and stop perfusion of the vital organs, do not enhance it--and it is perfusion that should be your endpoint, NOT a number on a BP monitor!  The classic misperception, confusing BP as the problem for what the problem really is--BLEEDING, and PERFUSION.  Thyese are not, believe it or not, at all the same things
> ERF
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