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WHY IV?


HOW DID THE PRACTICE OF GIVING IV FLUIDS TO TRAUMA PATIENTS START?  ELIZABETH TRACEY REPORTS


Giving IV fluids to trauma patients in the field before transporting them to a trauma center compromises their survival, a Johns Hopkins study led by Elliott Haut has shown.  The study illustrates that what may intuitively seem like a good idea in medical care really needs rigorous study.

HAUT: The question of how do things get started in medicine is always very interesting, and this has been going on since before you and I have been alive.  People have been getting IV fluids after trauma.  It was never studied, it was never evaluated in any scientific fashion to decide if giving IV fluids was beneficial.  People thought it was a good idea and they started doing it and its been the standard of care ever since.  And right now, what I think is I think we need to reevaluate this question of the standard of care with the real question of is it really the best thing for patients.  :31

Haut says such scrutiny of time-honored practices is underway under the rubric evidence-based medicine.  At Johns Hopkins, I’m Elizabeth Tracey.


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