Description: The first 10 minutes of a trauma resuscitation are critical, particularly outside of a trauma centre. Here we will discuss a refined early approach to the trauma patient in shock.
- Define controlled resuscitation and its implications for trauma resuscitation
- Targeted volume resuscitation: How much, and to what targets?
- Untangling the brain/blood trade off: How to resuscitate the brain and not promote bleeding
- Controlled resuscitation: Smaller fluid boluses, tolerating lower SBPs
- Preference given to blood and blood products over crystalloid
- Early priorities are adequate (not perfect) tissue perfusion and clot formation
Biography: I am an emergency physician and trauma team leader at St. Michael’s Hospital, as well as a Clinician-Educator in the Department of Medicine at the University of Toronto. I use high fidelity human patient simulation to help make teams work better and more safely.