Resuscitation Fluids

November 20, 2013

A review article entitled "Resuscitation Fluids," written by John A. Myburgh, M.B., B.Ch., Ph.D. and Michael G. Mythen, M.D., M.B., B.S., was published this year in the New England Journal of Medicine. The article analyzed the use of fluid resuscitation in both the prehospital and hospital settings, examining both the physiological principles and clinical practices involved in selecting from the many types of fluid resuscitation available.  Normal saline was ultimately determined to have the broadest application in the prehospital and hospital settings, while other methodologies proved to have certain setbacks.  The article offers a good review of the intricacies of human pathophysiology and fluid resuscitation.  It reiterates the evidence that defining and correcting the etiology of the patient's hypovolemia is a more definitive treatment than fluid resuscitation.

Speakers: David Page, MS, NREMT-PAlexander Trembley, NREMT-PKeith Wesley, MD, FACEP

Original study: "Resuscitation Fluids," by John A. Myburgh, MB, BCh, PhD; and Michael G. Mythen, MD, MB, BS.