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Mon Oct 24 13:59:39 BST 2005

To say the truth, I myself am not sure what point is being made here and 
have found no justification for the use of colloids. As I just wrote to 
pjborn, it is being considered today to no longer make them available for 
physicians.. The traditional claim pro their use (only in combination eith 
cristalloids, by the way) has been that they maintain blood volume and 
therefore pressure for a longer period and by using smaller amounts then 
cristalloids alone, which only elevate hydrostatic pressure without 
elevating colloid osmotic pressure, therefore contributing to massive plasma 
volume loss to the interstitial space.
However, I have read that the US army SOCOM (special operations command) 
have put them into use for the reason smaller amounts (and therefore less 
weight) is needed for the same effect.
This is only when the fluids are to carried by foot. Happened to hear of it?
The only reason I was looking for more information regarding colloids was to 
enrich my and others' knowledge.

>From: docrickfry at aol.com
>Reply-To: Trauma & Critical Care mailing list <trauma-list at trauma.org>
>To: trauma-list at trauma.org
>Subject: Re: Colloid infusion in the trauma patient
>Date: Sat, 22 Oct 2005 12:38:02 -0400
>
>Time of transfer has no relevance to the fact there is no clinically 
>relevant indication for its use--not sure what point is being made here?
>ERF
>
>-----Original Message-----
>From: oded private <tangentcarrot at hotmail.com>
>To: trauma-list at trauma.org
>Sent: Sat, 22 Oct 2005 17:24:43 +0200
>Subject: Re: Colloid infusion in the trauma patient
>
>
>Actually, niyher do us.
>But it is available for use with patients who's transfer to the hospital is 
>greatly delayed (not saying that it will be used in such a case, only that 
>it's available. It's for doctor to decide, as much as I can recall it's not 
>indicated by some protocol or something)
>
>Do you us it with trauma paitents in the ICU?
>
>
> >From: flysurg at aol.com
> >Reply-To: Trauma & Critical Care mailing list <trauma-list at trauma.org>
> >To: trauma-list at trauma.org
> >Subject: Re: Colloid infusion in the trauma patient
> >Date: Sat, 22 Oct 2005 11:07:43 -0400
> >
> >We NEVER use colloids in initial resuscitation, prehospital or otherwise. 
> >The literature clearly does not support colloid use.
> >
> >Steve Smith
> >
> >-----Original Message-----
> >From: oded private <tangentcarrot at hotmail.com>
> >To: trauma-list at trauma.org
> >Sent: Fri, 21 Oct 2005 18:25:32 +0200
> >Subject: Colloid infusion in the trauma patient
> >
> >
> >Hello trauma list
> >
> >Lately, I have been dealing with the teaching of fluid ressuscitation in 
> >trauma to EMT-B'S (not directly by teaching but by dealing with contents 
>of >the class and consulting with instructors) and the subject of the use 
>of >colloid solutions (under the doctor's order only. of course) came up, 
>so >I'd like t o here from those of you who have had expreince with this 
> >therapy (both in the pre-hospital and trauma-room settings) to share your 
> >knowledge and experience with me- what solutions did use? does any of you 
> >continue to practice this therapy? did you find it to have significant 
> >adventages over using soley cristalloids? How did you avoid or manage its 
> >complications and dangers?
> >
> >Looking forward to your respondes and wishing you a happy succot,
> >Oded
> >
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Colloid infusion in the trauma patient