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

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Presentation on theme: "Controversies in Contemporary Trauma Resuscitation Ronald V. Maier, M.D., F.A.C.S. Ernest E. Moore, M.D., F.A.C.S."— Presentation transcript:

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

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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

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8 Tourniquets

9 Bystander Tourniquets

10 Pelvic Packing

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

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


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