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Jehovah’s Witnesses


Trauma and Emergency Medicine

Prehospital Management of Shock

Prehospital intravenous fluid administration is associated with higher mortality in trauma patients: a National Trauma Data Bank analysis.

Haut ER, Kalish BT, Cotton BA, Efron DT, Haider AH, Stevens KA, Kieninger AN, Cornwell EE 3rd, Chang DC.

Source‎: Ann Surg 2011;253(2):371-7.

Indexed‎: PubMed 21178760

DOI‎: 10.1097/SLA.0b013e318207c24f

Does increased prehospital replacement volume lead to a poor clinical course and an increased mortality? A matched-pair analysis of 1896 patients of the Trauma Registry of the German Society for Trauma Surgery who were managed by an emergency doctor at the accident site.

Hussmann B, Lefering R, Waydhas C, Touma A, Kauther MD, Ruchholtz S, Lendemans S; Trauma Registry of the German Society for Trauma Surgery.

Source‎: Injury 2013;44(5):611-7.

Indexed‎: PubMed 22377276

DOI‎: 10.1016/j.injury.2012.02.004

Guidelines for prehospital fluid resuscitation in the injured patient.

Cotton BA, Jerome R, Collier BR, Khetarpal S, Holevar M, Tucker B, Kurek S, Mowery NT, Shah K, Bromberg W, Gunter OL, Riordan WP Jr; EAST Practice Parameter Workgroup for Prehospital Fluid Resuscitation.

Source‎: J Trauma 2009;67(2):389-402.

Indexed‎: PubMed 19667896

DOI‎: 10.1097/TA.0b013e3181a8b26f

The medical section of is designed as an informational resource primarily for use by clinicians and other health-care professionals. It provides neither medical advice nor treatment recommendations and does not substitute for an appropriately qualified health-care provider. The clinical literature cited is not published by Jehovah’s Witnesses, but it outlines transfusion-alternative strategies that might be considered. It is the responsibility of each qualified health-care provider to maintain awareness of new information, discuss options for care, and assist patients in making choices in accord with their medical condition, wishes, values, and beliefs. Not all listed strategies are appropriate or acceptable to all patients.

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