Trauma patients with hemorrhagic shock
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) Patients who received initial fluid resuscitation for hemorrhagic shock (2) Patients with physiological abnormality (Step 1), anatomical abnormality (Step 2), or mechanism of injury (high-energy injuries: Step 3) defined by JATEC (guideline p233). Patients who meet criteria for 1 or 2 above.
Exclusion criteria
Exclusion criteria: (1) Penetrating trauma (2) When the physician selected permissive hypotension therapy (3) Cardiopulmonary arrest (4) Patients whose fluid therapy started before admission (5) Patients with terminal stage of chronic disease (6) When the physician consider that the initial fluid resuscitation therapy is inappropriate for the patient (state the specific reason)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1) Character of patients with hemorrhagic shock 2) Systolic blood pressure (SBP) and heart rate (HR) on admission 3) SBP and HR at the time when 1L of fluid replacement was administered. 4) SBP and HR at the time when 2L was administered. 5) SBP and HR at the time when the management of ER was finished. 6) Total volume of fluid replacement and blood transfusion at ER 7) Total volume of fluid replacement and blood transfusion during 24 hr 8) Details of interventional treatment performed for hemorrhage | — |
Countries
Japan
Contacts
National Defense Medical College, Japan Department of Traumatology and Critical Care Medicine