Advances and thinking for early treatment of war wound and traumatic shock

Abstract

Traumatic shock is a main cause for early death of war wound and trauma. As for the early treatment of war wound and traumatic shock, many new concepts and techniques have been raised in recent years, such as limited fluid resuscitation, permissive fluid resuscitation and expanding golden hour care window. Based on the needs of our medical support and combat casualty care, the features and new treatment measures of war wound and traumatic shock at high altitude and marine, we discuss the new mechanisms and treatments of intestinal and vascular barrier function after sepsis and the new anti-shock fluids-malic acid fluid, and bring forward to the future research trends based on the new types of resuscitative fluid and new targets for war wound and traumatic shock.

Keywords

• war wound and trauma
• shock
• early care
• fluid resuscitation
• organ function