Pre-hospital management of traumatic hemorrhagic shock: Lessons of modern warfare (a literature review)

Abstract

The review presents recommendations for pre-hospital management of traumatic haemorrhagic shock (PHMTHS), details of its performance, criteria for evaluation of efficacy and results of application. The main principles of PHMTHS developed during military activity of armed forces of the USA and their allies in Iraq and Afghanistan were: Controlled hypotension, early infusion of tranexamic acid and the priority of blood loss replacement via transfusion. PHMTHS performed according to the stated principles leads to a significant decrease in the number of lethal outcome cases. This offers prospects for application of similar tactics of pre-hospital management in civilian medicine.