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1 results

  • 26 - Emergency medicine: cardiac arrest management, severe burns, near-drowning and multiple trauma

    • By Stephen Priestley, Emergency Medicine, Sunshine Hospital, St Albans, Melbourne, Australia, Michael Ragg, Emergency Medicine, Geelong Hospital, Geelong, Australia
  • Edited by Ann Møller, KAS Herlev, Copenhagen, Tom Pedersen, Rigshospitalet, Copenhagen
  • Book:
    Evidence-based Anaesthesia and Intensive Care
    Published online:
    05 September 2009
    Print publication:
    09 October 2006, pp 343-372

  • Summary

    The management of cardiac arrest, drowning, burns and multiple trauma all require specific knowledge and skills in order to achieve best outcomes. Although adrenaline has been used in cardiac arrest management for many years, there has been recent interest in the use of vasopressin in adult cardiac arrest. The fluid management of the patient with severe burns remains controversial. From an evidence based perspective, there is very little high level evidence looking at near-drowning. There are a large number of studies, systematic reviews and meta-analyses examining the question of the most appropriate fluid choice in patients requiring fluid resuscitation. There is an increasing focus on the utility and safety of blood substitutes in the resuscitation of haemorrhagic shock secondary to trauma and in perioperative transfusion therapy. There are multiple strategies to diagnose shock and monitor resuscitation in multiple trauma patients.