Abstract
Initial lactic acidosis is associated with lower cardiac performance and higher morbidity and mortality. Persistent OH is associated with higher rates of RC, MSOF, and death after severe trauma. Early identification and aggressive resuscitation aimed at correcting continued elevation in serum lactate improves survival and reduces complications in severely injured trauma patients.
Keywords
MedicineProspective cohort studyLactic acidosisResuscitationBlood pressureAcidosisIntensive care unitOrgan dysfunctionInjury Severity ScoreTrauma centerOccultEmergency departmentPerfusionAnesthesiaSurgeryRetrospective cohort studyInternal medicinePoison controlEmergency medicineSepsisInjury prevention
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Publication Info
- Year
- 1999
- Type
- article
- Volume
- 47
- Issue
- 5
- Pages
- 964-964
- Citations
- 456
- Access
- Closed
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Cite This
Osbert Blow,
Lissa Magliore,
Jeffrey A. Claridge
et al.
(1999).
The Golden Hour and the Silver Day: Detection and Correction of Occult Hypoperfusion within 24 Hours Improves Outcome from Major Trauma.
, 47
(5)
, 964-964.
https://doi.org/10.1097/00005373-199911000-00028
Identifiers
- DOI
- 10.1097/00005373-199911000-00028