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Promoting early diagnosis of hemodynamic instability during simulated hemorrhage with the use of a real-time decision-assist algorithm.

Authors
  • Muniz, Gary W
  • Wampler, David A
  • Manifold, Craig A
  • Grudic, Greg Z
  • Mulligan, Jane
  • Moulton, Steven
  • Gerhardt, Robert T
  • Convertino, Victor A
Type
Published Article
Journal
The journal of trauma and acute care surgery
Publication Date
Aug 01, 2013
Volume
75
Issue
2 Suppl 2
Identifiers
DOI: 10.1097/TA.0b013e31829b01db
PMID: 23883906
Source
Medline
License
Unknown

Abstract

In a simulated patient encounter involving uncontrolled hemorrhage, the use of a monitor that estimates central blood volume loss was associated with early identification of impending hemodynamic instability. Physiologic monitors capable of early identification and estimation of the physiologic capacity to compensate for blood loss during hemorrhage may enable optimal guidance for hypotensive resuscitation. They may also help identify casualties benefitting from forward administration of plasma, antifibrinolytics and procoagulants in a remote damage-control resuscitation model.

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