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Related Experiment Video

Updated: Jun 16, 2026

Fixed Volume or Fixed Pressure: A Murine Model of Hemorrhagic Shock

Fixed Volume or Fixed Pressure: A Murine Model of Hemorrhagic Shock

Published on: June 6, 2011

Fluid resuscitation: a Defence Medical Services Delphi study into current practice.

C Wright¹, P Mahoney, T Hodgetts

¹Selly Oak Hospital, Birmingham. wright@armymail.mod.uk

Journal of the Royal Army Medical Corps

|January 26, 2010

Summary

This summary is machine-generated.

Recent fluid resuscitation practices were explored via a Delphi study. Consensus was reached on adult intraosseous access, limited hypotensive resuscitation, and goal-directed therapy for trauma patients.

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Published on: July 28, 2018

Area of Science:

Emergency Medicine
Critical Care Medicine
Trauma Management

Background:

Fluid resuscitation is a cornerstone of emergency and critical care.
Evolving clinical practices necessitate regular reviews of resuscitation guidelines.
Understanding current expert consensus is vital for optimizing patient outcomes.

Purpose of the Study:

To investigate recent changes and expert consensus on fluid resuscitation strategies.
To identify key areas of agreement and disagreement among medical professionals regarding fluid therapy.

Main Methods:

A two-round Delphi study involving a 30-member expert panel.
Panel members were drawn from UK Defence Medical Services, other NATO members, and civilian practice.
Consensus was sought on various statements related to fluid resuscitation.

Main Results:

Consensus achieved on the use of adult intraosseous access for resuscitation.
Agreement reached on the principles of limited hypotensive resuscitation in trauma.
Consensus supported the implementation of goal-directed therapy for trauma patients.
No consensus was achieved regarding the choice of non-oxygen carrying synthetic colloids.

Conclusions:

The study highlights areas of expert agreement in modern fluid resuscitation, particularly for trauma.
Expert opinion remains divided on the optimal selection of certain synthetic colloids.
Findings contribute to the ongoing discourse and refinement of fluid resuscitation protocols.