The ebb and flow of fluid (as in resuscitation).

摘要: Since the early 1960's "resuscitation" following major trauma involved use of replacement crystalloid fluid/estimated blood loss in volumes 3/1, ambulance, emergency room, operating room and surgical intensive care unit. During past 20 years, MAJOR paradigm shifts have occurred this concept. As a result hypotensive resuscitation with view towards restriction crystalloid, prevention complications has occurred. Improved results both civilian military environments been reported. there is new focus on involvement all aspects patient management, aggressive approaches (which may or not involve an operation), movement from to blood, plasma, platelet therapy.