Pre-hospital fluid therapy.

[KMATTOX at aol.com]

In a message dated 6/5/2007 5:27:34 A.M. Central Daylight Time,  
josuarez at teleline.es writes:

José  Suarez-Peláez



Dr.  Jose Suarez-Pelaez has asked this group to respond to an article  and a 
letter to the editor in the journal, "Injury."    The  letter contains some 
germane observations and questions.    Particularly, the question of the value 
of systemic blood pressure as a measure  of adequacy of resuscitation, 
perfusion, etc. is right on.     However, for the majority of the world, this readily 
available device is what is  available, and Near Infrared Spectroscopy has not 
yet been  standardized.     
 
I would agree that in the referenced study, the inclusion criteria are two  
broad and using a BP of 90/- systolic, or better 70/- as an entry criteria for  
such studies would be more appropriate.  
 
K Mattox



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