This article was chosen for discussion as the 8th edition of atls has important changes of interest to anesthesiologists



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tarix02.01.2022
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It states either crystalloid (Lactated Ringers vs. Normal Saline) is acceptable as initial resuscitation for shock. It also states that hypertonic saline is at least equivalent and maybe superior in patients with traumatic brain injury.

  • Tourniquets are now regarded as important for use in exsanguinating extremity injury in the pre-hospital phase.

  • The new pelvic fracture algorithm includes use of pelvic binders and angiography.



  • Blast injury is now included in the ATLS guidelines due to recent military experience with improvised explosive devices.

    • Blast injury is now included in the ATLS guidelines due to recent military experience with improvised explosive devices.

    • Increased emphasis is now placed on early recognition of blunt carotid injury and methylprednisolone is no longer advocated for the management of acute spinal cord injury.




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