NO IV FLUIDS
TAKING TIME TO START IV FLUIDS MAY COMPROMISE TRAUMA PATIENTS, ELIZABETH TRACEY REPORTS
People who are severely injured and are given IV fluids before paramedics transport them to a trauma center are more likely to die than those not given IV fluids, a Johns Hopkins study led by Elliott Haut has shown.
HAUT: We know about the golden hour and the concept of the golden hour. All the lay public knows about it, that if you’re injured, injury is time sensitive and you need to get to definitive care, and the best place to be is the trauma center and you need to get there as quickly as possible, and IV fluids might be one of those procedures, that along with spine immobilization, or other resuscitative maneuvers, take a long time in the prehospital setting, and maybe the time is just simply not worth it. And the better approach is just to get the patient very quickly to definitive care at the trauma center. :32
Haut says studies such as these should inform standard operating procedures by paramedics in the field. At Johns Hopkins, I’m Elizabeth Tracey.