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Fri May 25 21:28:21 BST 2007

In a message dated 5/25/2007 10:33:56 A.M. Central Daylight Time,  
reinehr.gustav at gmail.com writes:

What are  the risks of the wholesale use of fluid infusion (specially 
cristalloids)  in any trauma patients?

Thank you,
Gustav Reinehr.  

Dear Dr. Reinehr:   As you are a member of this list server, you  are 
obviously a member of Trauma.org.  This post is to make you aware of  the Trauma.org 
web site.   Under Library, the web master, Dr. Karim  Brohi, has constructed a 
wonderful collection of collected reviews of many areas  of trauma.   These 
reviews are a virtual textbook of trauma, much like  as if it were a WikiTrauma 
site.    One of those areas is  "RESUSCITATION."  This section provides you 
with an answer to  your question.    The subject is also approached in a  
number of the other areas of the Library and throughout the web  site.   

In addition, Dr. Brohi has archived many of the discussions from this list  
server.   This subject has been extensively discussed on this list  server at 
least once every two months.    In addition, there  is extensive literature 
addressing your question in several booklets put  out by the Institute of 
Medicine as well as articles in the shock  literature from large animal studies, 
especially those from the Institute for  Surgical Research in San Antonio, Texas.  
One also needs to look at the  resuscitation work out of the University of 
Pittsburgh, particularly the  laboratory of Dr. Mitch Fink.   

Your question is a germane one.    Hopefully, EMS, emergency  departments, 
surgeons, anesthesiologists, and intensivist will not be governed  by continuing 
urban legends and class 3, 4, and 5 data.   Your  insight in asking this 
question will be of assistance to others who have  the same concern.,  

k

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