Prolonged Permissive Hypotensive Resuscitation Is Associated With Poor Outcome in Primary Blast Injury With Controlled Hemorrhage

Abstract

Prolonged hypotensive resuscitation is not compatible with survival after primary blast. Casualties most likely to be in this category are those injured by blast in confined spaces or by enhanced blast weapons. The risk of rebleeding associated with normotensive resuscitation needs to be balanced with the metabolic derangement associated with hypotensive resuscitation.