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Permissive Hypotension for Trauma Below the Neck

CPDTime.
10m of CPD
Permissive hypotension is the intentional under-resuscitation of a patient, where the goal is to maintain a blood pressure that is adequate, but in the lower than normal range. This is achieved by restricting the amount of fluid administered while the patient is still actively bleeding.

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Researchers have found that early, high-dose fluid resuscitation may cause trauma patients experiencing severe haemorrhage to suffer adverse effects such as dilutional coagulopathy or acceleration of the haemorrhage. Permissive hypotension, also known as hypotensive resuscitation or low-volume resuscitation, is a controversial and uncommon method of fluid resuscitation that may result in more desirable patient outcomes.

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Ausmed’s editorial team is committed to providing high-quality, well-researched and reputable education to our users, free of any commercial bias or conflict of interest. All education produced by Ausmed is developed in consultation with healthcare professionals and undergoes a rigorous review process to ensure the relevancy of all healthcare information and updates to changes in practice. If you have identified an issue with the education offered by Ausmed or wish to submit feedback to Ausmed's editorial team, please email ausmed@ausmed.com.au with your concerns.
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What do others think?

371 reviews by Ausmed Learners
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VA
Victoria Allen
17 Apr 2022
Good
EL
Evangeline Leon
13 Nov 2023
Excellent learning study.
MG
Mark Guillermo
05 Nov 2023
Paramedic
very informative and relevant
Portrait of MIkka Jelinek
MIkka Jelinek
21 Oct 2020
Brilliant refresher for those that work in emergency healthcare.
PS
Paul Strong
27 Oct 2020
Very relevant information to frontline paramedics as this is a critical emergency not seen every day. To allow controlled hypotension needs close observation to vital signs.
ZO
Zane Omega
23 Oct 2023
A good read. It was short and concise. Practical.
EB
Evan Baker
11 Nov 2021
The article was short and straight to the point. Relevant and referenced, I have complete confidence in what I was reading.
PG
Patricia Greenaway
03 Nov 2020
It is great to know alternatives in trauma and emergencies to be aware of what can occur in different scenarios of fluids and trauma.
KD
Karen Doyle
25 Oct 2023
Excellent
PT
Peter Thorley
15 Nov 2023
Paramedic
very good
4.5 / 5
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