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Controversies in Contemporary Trauma Resuscitation

Controversies in Contemporary Trauma Resuscitation. Ronald V. Maier, M.D., F.A.C.S. Ernest E. Moore, M.D., F.A.C.S. Hypotensive Resuscitation. J Trauma, Oct 2008. 4. Controversial People. John Holcomb, MD 2009 Memorial Trauma Symposium Keynote Speaker. 1:1:1 Component Therapy.

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Controversies in Contemporary Trauma Resuscitation

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  1. Controversies in Contemporary Trauma Resuscitation Ronald V. Maier, M.D., F.A.C.S. Ernest E. Moore, M.D., F.A.C.S.

  2. Hypotensive Resuscitation

  3. J Trauma, Oct 2008 4

  4. Controversial People John Holcomb, MD 2009 Memorial Trauma Symposium Keynote Speaker

  5. 1:1:1 Component Therapy Component Therapy: 1U PRBC + 1U PLT + 1U FFP + 1 U cryo 680 COLD mL • Hct 29% • Plt 80K • Coag factors 65% of initial concentration • 1000 mg Fibrinogen WWB: 500 mL Warm Hct: 38-50% Plt: 150-400K Coag: 100% 1000 mg Fibrinogen • Armand & Hess, Transfusion Med. Rev., 2003

  6. Tourniquets

  7. Bystander Tourniquets

  8. Pelvic Packing

  9. The Impact of Hypertonic Saline Resuscitation on the Gene Expression Profile of Critically Injured Patients Ang DN, Maier RV

  10. Endovascular Repair of Vascular Injuries • Vertebral Artery injuries • Blunt • Penetrating

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