8th ed of ATLS -? Lactated Ringer?

[Lorick Fox, MPAS, PA-C]

I thought there was good evidence that using LR for volume was
contraindicated in shock and that IF any crystalloid was to be used, it
should be isotonic or hypertonic saline.  I see ATLS still includes LR as an
acceptable isotonic crystalloid.  As I just got through recommending that we
remove LR from our supplies, I would appreciate being educated.

Lorick


Lorick Fox, MPAS, PA-C
Gianaclis Support Complex
03-448-2335
Fax 03-448-2339
Mobile 018-230-4448

> -----Original Message-----
> From: trauma-list-bounces at trauma.org [mailto:trauma-list-
> bounces at trauma.org] On Behalf Of Frank Østergaard Hansen
> Sent: Tuesday, June 17, 2008 12:45 PM
> To: trauma-list at trauma.org
> Subject: 8th ed of ATLS
> 
> 
> 
> 
> 
> Fra: Frank Østergaard Hansen [mailto:drfrank.hansen at gmail.com]
> Sendt: 17. juni 2008 11:39
> Til: 'trauma-list at trauma.org'
> Emne: 8th ed of ATLS
> 
> 
> 
> See this paper, on new ATLS, it looks like a good step towards many of the
> point the list had
> 
> 
> 
> >From my points, as army doctor is good to see, tourniquet and permissive
> hypotension there, too bad they don’t take as far as PHTLS do, in their
> 2006
> update, it looks to be a small talk.
> 
> 
> 
> Frank Hansen
> 
>