8th ed of ATLS -? Lactated Ringer?

[Nicholas Macartney]

On the other hand, can someone give me a valid reason why I would ever  
want to use 0.9% Saline. I last used it several years ago ( apart from  
flushing arterial lines). Lactated Ringer's ( Hartmann's ) is my fluid  
of choice.
Nick Macartney
On 17 Jun 2008, at 11:06, Lorick Fox, MPAS, PA-C wrote:

>
> 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
>>
>>
>
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