LOAD AND GO VERSUS STAY AND PLAY - ANALYSIS OF PREHOSPITAL IV-FLUID THERAPY BY COMPUTER-SIMULATION

被引：24

作者：

WEARS, RL

WINTON, CN

机构：

[1] Division of Emergency Medicine, Department of Surgery, University of Florida, Jacksonville

[2] Department of Computer and Information Science, University of North Florida, Jacksonville

来源：

ANNALS OF EMERGENCY MEDICINE | 1990年 / 19卷 / 02期

关键词：

computer simulation; resuscitation; prehospital;

D O I：

10.1016/S0196-0644(05)81802-5

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

A computer-simulation model of prehospital hemorrhage and fluid resuscitation was used to determine under what circumstances it is advantageous to begin fluid resuscitation in the field instead of immediately transporting to the hospital. Four hypothetical bleeding rates (15, 25, 50, and 100 mL/min) were examined for short and long prehospital times. No significant difference in survival was noted for bleeding rates of 15 mL/min for either short or long time; a small but statistically significant increase in survival was noted for bleeding rates of 25 mL/min and long transport times. For both short and long times, all higher bleeding rates showed greater survival with prehospital fluid resuscitation and higher blood pressure at the onset of definitive care. © 1990 American College of Emergency Physicians.

引用

页码：163 / 168

页数：6

共 23 条

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