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

3. Hypotensive Resuscitation

4. 4 J Trauma, Oct 2008

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

6. 1:1:1 Component Therapy Component Therapy: 1U PRBC + 1U PLT + 1U FFP + 1 U cryo COLD 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

8. Tourniquets

9. Bystander Tourniquets

10. Pelvic Packing

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

15. Endovascular Repair of Vascular Injuries  Vertebral Artery injuries  Blunt  Penetrating